Individual provider Active NPI

Michael J Hann, PA-C, ATC

  • Surgical Physician Assistant
  • Trumbull, CT
National Provider Identifier
1225163488
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2824 Issued in CT
Practice address
888 White Plains Rd Ste 105
Trumbull, CT 06611-4552
Phone
(203) 268-2882
Fax
(203) 601-8596
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0149 CT
Surgical Physician Assistant 363AS0400X 2824 CT Primary

Addresses

Primary practice location

888 White Plains Rd Ste 105
Trumbull, CT 06611-4552

Mailing address

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 626-0160

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
I20150129000103 CT Practitioner - Physician Assistant 7810211570 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

1800 Post Rd E
Westport, CT 06880-5607
Phone (203) 254-1354

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

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

888 White Plains Rd
Trumbull, CT 06611-4552

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0149CTMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 1, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Surgical CurrentSince Dec 1, 2020 Accepting new patients
Connecticut Orthopaedic Specialists, PC Surgical CurrentSince Mar 1, 2018 Accepting new patients
Connecticut Orthopaedic Specialists, PC CurrentSince Mar 1, 2018 Accepting new patients
The Orthopaedic and Sports Medicine Center Past Accepting new patients

Locations

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

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

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

1055 Post Rd
Ste 4
Fairfield, CT 06824
Phone (203) 254-1055

2416 Whitney Ave
Hamden, CT 06518
Phone (203) 248-4331

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

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

100 Beard Sawmill Rd
Shelton, CT 06484
Phone (203) 445-5500

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

888 White Plains Rd
Trumbull, CT 06611
Phone (203) 268-2882

888 White Plains Rd
Ste 105
Trumbull, CT 06611
Phone (203) 268-2882

888 White Plains Rd
Ste 106
Trumbull, CT 06611
Phone (203) 268-2882

888 White Plains Rd
Ste 209
Trumbull, CT 06611
Phone (203) 459-1133

1800 Post Rd E
Westport, CT 06880
Phone (203) 254-1354

Interoperability endpoints

  • Direct secure messaging: michael.hann@xdr.hhchealthdirect.org
  • Direct secure messaging: mhann114643@direct.ynhh.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1225163488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183209",
            "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": "888 WHITE PLAINS RD STE 105",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114552",
            "telephone_number": "203-268-2882",
            "fax_number": "203-601-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "0149",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "2824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.