Individual provider Active NPI

Luka Muskatallo, PA-C

  • Physician Assistant
  • Middletown, CT
National Provider Identifier
1265176655
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6059 Issued in CT
Practice address
28 Crescent St
Middletown, CT 06457-3654
Phone
(860) 358-6517
NPI assigned
Apr 22, 2022
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 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 6059 CT Primary

Addresses

Primary practice location

28 Crescent St
Middletown, CT 06457-3654

Mailing address

57 S Main St
Middletown, CT 06457-3606
Phone (860) 368-0050

Other names 1

  • Luka Jean Augeri 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
I20230721001483 CT Practitioner - Physician Assistant 4385004324 Reassigns benefits to 3 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
Guilford Radiology LLCGroup PAC ID 2668722513, 10 clinicians
Radiologic Associates of Middletown PCGroup PAC ID 5799765186, 32 clinicians

Practice addresses (Care Compare)

1591 Boston Post Rd
Suite 106
Guilford, CT 06437-4335
Phone (203) 453-5123

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 344-6293

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.32 of 100Reported as group
Quality
38.88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care Inc Physician Assistant CurrentSince Nov 13, 2023 Accepting new patients
MHS Primary Care Inc Physician Assistant CurrentSince Nov 13, 2023 Accepting new patients

Locations

1591 Boston Post Rd
Ste 106
Guilford, CT 06437

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

896 Washington St
Middletown, CT 06457
Phone (860) 788-3632

250 Flat Rock Pl
Westbrook, CT 06498
Phone (860) 358-3640

Organizations & group practices 4

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 1

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": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1265176655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573606",
            "telephone_number": "860-368-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSKATALLO",
        "first_name": "LUKA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "6059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUKA",
            "last_name": "AUGERI",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.