Individual provider Active NPI

Grace Marie Queiroz, PA-C

  • Physician Assistant
  • Hamden, CT
National Provider Identifier
1184336000
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2200 Whitney Ave Ste 360
Hamden, CT 06518-3602
Phone
(203) 281-4463
NPI assigned
Dec 22, 2022
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CT Primary

Addresses

Primary practice location

2200 Whitney Ave Ste 360
Hamden, CT 06518-3602

Mailing address

2200 Whitney Ave Ste 360
Hamden, CT 06518-3602
Phone (203) 281-4463

Other names 1

  • Grace Marie Loria Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address grace.queiroz@xdr.hhchealthdirect.org Health Information Exchange (HIE)

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
I20230227000809 CT Practitioner - Physician Assistant 1355714171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HHC Physician Services PLLCGroup PAC ID 9537573357, 140 clinicians

Practice addresses (Care Compare)

2200 Whitney Ave
Hamden, CT 06518-3694

250 Indian River Rd
Suite 300
Orange, CT 06477-3627
Phone (203) 738-7700

40 Commerce Park
Milford, CT 06460-3535
Phone (203) 281-4463

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
83.74
Promoting interoperability
100
Improvement activities
40
Cost
72.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HHC Physician Services, PLLC CurrentSince Oct 2, 2023 Accepting new patients
HHC Physician Services, PLLC CurrentSince Oct 2, 2023 Accepting new patients
Gastroenterology Consultants, P.C. PastSince Feb 1, 2023 Accepting new patients

Locations

322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228

1591 Boston Post Rd
Ste 206
Guilford, CT 06437
Phone (203) 281-3636

40 Commerce Park
Milford, CT 06460
Phone (203) 878-3531

2200 Whitney Ave
Ste 360
New Haven, CT 06518
Phone (203) 281-4463

250 Indian River Rd
Ste 300
Orange, CT 06477
Phone (203) 738-7700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8591/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1184336000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE STE 360",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183602",
            "telephone_number": "203-281-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE STE 360",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183602",
            "telephone_number": "203-281-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEIROZ",
        "first_name": "GRACE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grace.queiroz@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2200 Whitney Ave Ste 360",
            "city": "Hamden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065183602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "LORIA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.