Individual provider Active NPI

Alaina Petracca, PA-C

  • Surgical Physician Assistant
  • Hamden, CT
National Provider Identifier
1245606474
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3340 Issued in CT
Practice address
2408 Whitney Ave
Hamden, CT 06518-3209
Phone
(203) 407-3545
Fax
(203) 466-8591
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3340 CT
Surgical Physician Assistant 363AS0400X 3340 CT Primary
Medical Physician Assistant 363AM0700X 3340 CT

Addresses

Primary practice location

2408 Whitney Ave
Hamden, CT 06518-3209

Mailing address

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

Other names 1

  • Alaina Miele 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
I20151027002860 CT Practitioner - Physician Assistant 5799094041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Orthopaedic Specialists PCGroup PAC ID 7315850039, 184 clinicians

Practice addresses (Care Compare)

235 Boston Post Rd
Orange, CT 06477-3229
Phone (203) 795-4784

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

2416 Whitney Ave
Hamden, CT 06518-3248

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

84 N Main St
Branford, CT 06405-3061
Phone (203) 483-2509

Hospital & facility affiliations

  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017

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
3340CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Orthopaedic Specialists, PC Physician Assistant CurrentSince Jan 10, 2022 Accepting new patients
Connecticut Orthopaedic Specialists, PC CurrentSince Jan 10, 2022 Accepting new patients

Locations

84 N Main St
Ofc
Branford, CT 06405

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

450 Boston Post Rd
Ofc
Guilford, CT 06437

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

258 Broad St
Milford, CT 06460
Phone (203) 882-3373

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

Interoperability endpoints

  • Direct secure messaging: apetracca415624@xdr.hhchealthdirect.org

Organizations & group practices 2

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1245606474",
    "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": "2408 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183209",
            "telephone_number": "203-407-3545",
            "fax_number": "203-466-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRACCA",
        "first_name": "ALAINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3340",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "3340",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "3340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALAINA",
            "last_name": "MIELE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.