Individual provider Active NPI

Allyson E Kubasek, PA-C

  • Surgical Physician Assistant
  • Hartford, CT
National Provider Identifier
1134536311
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3191 Issued in CT
Practice address
32 Seymour Street
Hartford Hospital Orthopedics Dept
Hartford, CT 06102-5037
Phone
(860) 972-2245
NPI assigned
Jul 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 3191 CT Primary

Addresses

Primary practice location

32 Seymour Street
Hartford Hospital Orthopedics Dept
Hartford, CT 06102-5037

Mailing address

32 Seymour Street
Hartford Hospital Orthopedics Dept
Hartford, CT 06106
Phone (860) 972-2245

Other practice location 1

80 Seymour Street
Hartford Hospital Orthopedics Dept
Hartford, CT 06102-5037
Phone (860) 972-2245

Other practice location 2

5 Founders St Ste 202
Willimantic, CT 06226-2052
Phone (860) 456-3997

Other names 1

  • Allyson Ripke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141114000157 CT Practitioner - Physician Assistant 6901028547 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford HospitalGroup PAC ID 2567366016, 1,040 clinicians

Practice addresses (Care Compare)

80 Seymour St
Hartford, CT 06102-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3191CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince May 25, 2020 Accepting new patients
Hartford Hospital CurrentSince May 25, 2020 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Aug 14, 2020 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Aug 14, 2020 Accepting new patients
Orthopedic Associates of Hartford,PC Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Past Accepting new patients

Locations

270 Farmington Ave
Ste 102
Farmington, CT 06032

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8208

32 Seymour St
Hartford, CT 06106
Phone (860) 972-1128

29 Haynes St
Manchester, CT 06040
Phone (860) 533-2903

Interoperability endpoints

  • Direct secure messaging: allyson.kubasek@xdr.hhchealthdirect.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1134536311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SEYMOUR STREET",
            "address_2": "HARTFORD HOSPITAL ORTHOPEDICS DEPT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-972-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SEYMOUR STREET",
            "address_2": "HARTFORD HOSPITAL ORTHOPEDICS DEPT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061025037",
            "telephone_number": "860-972-2245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Seymour Street",
            "address_2": "Hartford Hospital Orthopedics Dept",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061025037",
            "country_code": "US",
            "telephone_number": "860-972-2245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Founders St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Willimantic",
            "state": "CT",
            "postal_code": "062262052",
            "country_code": "US",
            "telephone_number": "860-456-3997",
            "fax_number": "860-450-7323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBASEK",
        "first_name": "ALLYSON",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-19",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "3191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLYSON",
            "last_name": "RIPKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.