Individual provider Active NPI

Logan M Petit, MD

  • Orthopaedic Surgery Physician
  • Branford, CT
National Provider Identifier
1174052682
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
75696 Issued in CT
Practice address
84 N Main St
Branford, CT 06405-3061
Phone
(203) 483-2509
Fax
(203) 483-2513
NPI assigned
Jun 8, 2017
Last updated
May 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 75696 CT Primary

Addresses

Primary practice location

84 N Main St
Branford, CT 06405-3061

Mailing address

2 Barnes Industrial Rd S
Wallingford, CT 06492-2486
Phone (203) 626-0160

Other practice location 1

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 407-3500

Other practice location 2

680 S Main St Ste 102
Cheshire, CT 06410-3190
Phone (203) 272-3120

Other practice location 3

12 Bokum Rd
Essex, CT 06426-1500
Phone (860) 767-9053

Other practice location 4

146 Samson Rock Dr
Madison, CT 06443-3018
Phone (203) 245-7447

Other practice location 5

701 N Colony Rd
Wallingford, CT 06492-2407
Phone (203) 265-1800

Other practice location 6

330 Bridgeport Ave
Shelton, CT 06484-3861
Phone (203) 538-0020

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912002496 CT Practitioner - Orthopedic Surgery 3971874678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians

Practice addresses (Care Compare)

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 407-3500

555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.81 of 100Reported as group
Quality
79.31
Promoting interoperability
100
Improvement activities
40
Cost
80.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Orthopaedic Specialists, PC Orthopaedic Surgery CurrentSince Aug 15, 2023 Accepting new patients
Connecticut Orthopaedic Specialists, PC Orthopaedic Surgery CurrentSince Aug 15, 2023 Accepting new patients
Connecticut Orthopaedic Specialists, PC Orthopaedic Surgery Past Accepting new patients
Connecticut Orthopaedic Specialists, PC Orthopaedic Surgery Past Accepting new patients
Connecticut Orthopaedic Specialists, PC Orthopaedic Surgery Past Accepting new patients
Connecticut Orthopaedic Specialists, PC Orthopaedic Surgery Past Accepting new patients
Connecticut Orthopaedic Specialists, PC Orthopaedic Surgery Past Accepting new patients

Locations

84 N Main St
Branford, CT 06405
Phone (203) 483-2015

84 N Main St
Ofc
Branford, CT 06405

680 S Main St
Ste 102
Cheshire, CT 06410
Phone (203) 272-3120

12 Bokum Rd
Essex, CT 06426
Phone (860) 767-9035

2408 Whitney Ave
Hamden, CT 06518
Phone (203) 407-3500

2416 Whitney Ave
Ste 3
Hamden, CT 06518
Phone (203) 281-6636

146 Samson Rock Dr
Madison, CT 06443
Phone (203) 245-7447

330 Bridgeport Ave
Shelton, CT 06484
Phone (203) 538-0020

2 Barnes Industrial Rd S
Wallingford, CT 06492

701 N Colony Rd
Wallingford, CT 06492
Phone (203) 265-1800

Interoperability endpoints

  • Direct secure messaging: logan.petit@xdr.hhchealthdirect.org
  • Direct secure messaging: lpetit@ctortho.gwaydirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1174052682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BARNES INDUSTRIAL RD S",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922486",
            "telephone_number": "203-626-0160",
            "fax_number": "203-294-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 N MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053061",
            "telephone_number": "203-483-2509",
            "fax_number": "203-483-2513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2408 Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065183209",
            "country_code": "US",
            "telephone_number": "203-407-3500",
            "fax_number": "203-848-2361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 S Main St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064103190",
            "country_code": "US",
            "telephone_number": "203-272-3120",
            "fax_number": "203-272-3151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Bokum Rd",
            "address_purpose": "LOCATION",
            "city": "Essex",
            "state": "CT",
            "postal_code": "064261500",
            "country_code": "US",
            "telephone_number": "860-767-9053",
            "fax_number": "860-767-1146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146 Samson Rock Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064433018",
            "country_code": "US",
            "telephone_number": "203-245-7447",
            "fax_number": "860-767-1146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 N Colony Rd",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "CT",
            "postal_code": "064922407",
            "country_code": "US",
            "telephone_number": "203-265-1800",
            "fax_number": "203-284-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Bridgeport Ave",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064843861",
            "country_code": "US",
            "telephone_number": "203-538-0020",
            "fax_number": "203-538-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETIT",
        "first_name": "LOGAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "75696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.