Individual provider Active NPI

Michael Vukelic

  • Chiropractor
  • Newington, CT
National Provider Identifier
1316730260
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2354 Issued in CT
Practice address
133 Louis St
Newington, CT 06111-4517
Phone
(860) 667-3636
NPI assigned
May 23, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2354 CT Primary

Addresses

Primary practice location

133 Louis St
Newington, CT 06111-4517

Mailing address

24 Bellmere Ave
Stamford, CT 06906-1105
Phone (203) 550-1715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909002970 CT Practitioner - Chiropractic 3870095664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

44 Purnell PL
Manchester, CT 06040-5412
Phone (860) 783-8826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2354CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Family Chiropractic of Manchester LLC Chiropractor CurrentSince Oct 25, 2025 Accepting new patients
Koster Family Chiropractic LLC Chiropractor CurrentSince Aug 1, 2025 Accepting new patients
Judson Family Chiropractic LLC Chiropractor Past Accepting new patients

Locations

152 Simsbury Rd
#28C
Avon, CT 06001
Phone (860) 677-1100

152 Simsbury Rd
Bldg 19
Avon, CT 06001
Phone (860) 677-1100

44 Purnell Pl
Manchester, CT 06040
Phone (860) 783-8826

Organizations & group practices 3

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": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1316730260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BELLMERE AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069061105",
            "telephone_number": "203-550-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 LOUIS ST",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114517",
            "telephone_number": "860-667-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUKELIC",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.