Active NPI
Kelly C. Hanretta, D.O.
- Cardiovascular Disease Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 67486
- Practice address
- 20 York St
New Haven, CT 06510-3220 - Phone
- (203) 688-4748
- Fax
- (203) 688-4740
- NPI assigned
- Jul 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 67486 | CT | Primary |
| Cardiovascular Disease Physician | 207RC0000X | DO01102 | RI | |
| Cardiovascular Disease Physician | 207RC0000X | 269430 | NY | |
| Internal Medicine Physician | 207R00000X | 25MB08792600 | NJ |
Addresses
Primary practice location
20 York St
New Haven, CT 06510-3220
Mailing address
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295048502 | Other | NY | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Perkins Farm Dr
Suite 301
Mystic, CT 06355-4041
Phone (860) 572-5400
45 Wells St
Suite 102
Westerly, RI 02891-2927
Phone (401) 596-4499
Hospital & facility affiliations
- Westerly Hospital
- Lawrence & Memorial Hospital
- William W Backus Hospital
- Yale-New Haven Hospital
- Windham Community Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB08792600 | NJ | MD | Internal Medicine Physician |
| 67486 | CT | MD | Cardiovascular Disease Physician |
| DO01102 | RI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Single Specialty | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Single Specialty | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Single Specialty | Current | Accepting new patients |
| New York-Presbyterian/Lawrence Hospital | Past | Accepting new patients | |
| Lawrence Medical Associates, PC | Past | Accepting new patients |
Locations
100 Perkins Farm Dr
Ste 301
Mystic, CT 06355
Phone (860) 572-5400
20 York St
North Haven, CT 06510
Phone (203) 688-2433
8 Vista Dr
Old Lyme, CT 06371
Phone (646) 942-7318
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
77 Pondfield Rd
Bronxville, NY 10708
Phone (914) 337-2102
77 Pondfield Rd
Ste 1
Bronxville, NY 10708
Phone (914) 447-7270
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
41 E Post Rd
Ofc
White Plains, NY 10601
45 Wells St
Ste 102
Westerly, RI 02891
Phone (401) 596-4499
35 Wells St
Lowr
Westerly, RI 02891
Phone (401) 348-3865
Interoperability endpoints
- kelly.hanretta@xdr.hhchealthdirect.org
- khanretta519843@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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
RI, Single Specialty
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1487912416
Single Specialty
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
Single Specialty
-
- Multi-Specialty Clinic/Center
- Yorktown Heights, NY
- NPI 1184115479
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1134131030
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
-
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1639135718
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
-
- General Acute Care Hospital
- Willimantic, CT
- NPI 1023191467
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
-
- General Acute Care Hospital
- Westerly, RI
- NPI 1447595368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1295048502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-4748",
"fax_number": "203-688-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-4748",
"fax_number": "203-688-4740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANRETTA",
"first_name": "KELLY",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-15",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "67486",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "RI",
"license": "DO01102",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "269430",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MB08792600",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1295048502",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 15, 2026; 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.