Individual provider Active NPI

Brandon Raymond Ragozzino, PA-C

  • Physician Assistant
  • South Windsor, CT
National Provider Identifier
1336601616
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4372 Issued in CT
Practice address
1 Buckland Rd Ste 7
South Windsor, CT 06074-3764
Phone
(860) 698-4301
NPI assigned
Apr 4, 2019
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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 4372 CT Primary

Addresses

Primary practice location

1 Buckland Rd Ste 7
South Windsor, CT 06074-3764

Mailing address

1313 Avon Blvd
Cheshire, CT 06410-3608
Phone (203) 927-3702

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
I20190513000807 CT Practitioner - Physician Assistant 3173866274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Jefferson Medical College of Thomas Jefferson University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians

Practice addresses (Care Compare)

1 Cellini PL
West Haven, CT 06516-1666
Phone (203) 654-9941

2039 Highland Ave
Suite F120
Cheshire, CT 06410-1219
Phone (203) 718-3640

28 Shunpike Rd
Cromwell, CT 06416-2454
Phone (860) 613-5630

336 N Main St
West Hartford, CT 06117-2675
Phone (860) 200-7701

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977

656 New Haven Ave
Suite 3B
Derby, CT 06418-2528
Phone (475) 281-2502

752 Washington St
Middletown, CT 06457-2904
Phone (860) 613-5377

775 Queen St
Southington, CT 06489-1531
Phone (860) 777-1281

99 Executive Blvd
Suite 105
Southington, CT 06489-6029
Phone (860) 384-7847

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
85.61
Promoting interoperability
100
Improvement activities
40
Cost
46.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: brandon.ragozzino@xdr.hhchealthdirect.org

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1336601616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 AVON BLVD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103608",
            "telephone_number": "203-927-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUCKLAND RD STE 7",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743764",
            "telephone_number": "860-698-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGOZZINO",
        "first_name": "BRANDON",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "4372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.