Active NPI
Melissa Marie Heins, PA
- Surgical Physician Assistant
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 20 York Street
New Haven, CT 06511 - Phone
- (203) 688-2182
- NPI assigned
- Sep 3, 2009
- Last updated
- Mar 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2309 | CT | |
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
20 York Street
New Haven, CT 06511
Mailing address
237 Elm St
Old Saybrook, CT 06475-1119
Other practice location 1
12 Bokum Rd
Essex, CT 06426-1500
Phone (860) 767-0796
Other practice location 2
540 Saybrook Rd Ste 100
Middletown, CT 06457-4760
Phone (860) 358-2850
Other names 1
- Melissa Marie Czako
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14 Jones Hollow Rd
Suite 2
Marlborough, CT 06447-1448
Phone (860) 358-2850
28 Crescent St
Middletown, CT 06457-3654
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MHS Primary Care Inc. | Physician Assistant | Current | Accepting new patients |
| MHS Primary Care, Inc | Physician Assistant | Past | Accepting new patients |
Locations
14 Jones Hollow Rd
Ste 2
Marlborough, CT 06447
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
540 Saybrook Rd
Ste 100A
Middletown, CT 06457
Phone (860) 347-9377
540 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (860) 347-6683
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Middlesex Hospital Surgical Alliance
- Surgery Physician
- Middletown, CT
- NPI 1740666312
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1255564464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 ELM ST",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK STREET",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-688-2182"
}
],
"practiceLocations": [
{
"address_1": "12 Bokum Rd",
"address_purpose": "LOCATION",
"city": "Essex",
"state": "CT",
"postal_code": "064261500",
"country_code": "US",
"telephone_number": "860-767-0796",
"fax_number": "860-767-1146",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "540 Saybrook Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "CT",
"postal_code": "064574760",
"country_code": "US",
"telephone_number": "860-358-2850",
"fax_number": "860-358-8698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEINS",
"first_name": "MELISSA",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-03",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "2309",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "CZAKO",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.