Active NPI
Brandon Raymond Ragozzino, PA-C
- Physician Assistant
- South Windsor, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4372
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
- 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.
-
- Urgent Care Clinic/Center
- Avon, CT
- NPI 1093239683
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.