Lori Lynn Calavan – Surgical Physician Assistant

Key facts

NPI: 1356382147
Entity type: Individual (NPI type 1)
Primary specialty: Surgical Physician Assistant 363AS0400X
License: 1924 (CT)
Practice address: 1000 Asylum Ave
Suite 2109a
Hartford, CT 06105-1770
Phone: (860) 714-6581
Fax: (860) 714-8311
NPI assigned: Jun 10, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 9

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.

University of Connecticut Health Center General Practice Physician · Farmington, CT · NPI 1720083769

Medicare reassignment Care Compare group NPD CT
Trinity Health of New England Provider Network Organization Inc Internal Medicine Physician · Hartford, CT · NPI 1003882812

Medicare reassignment Care Compare group CT
The Hospital of Central Connecticut at New Britain General and Bradley Hospitalist Physician · New Britain, CT · NPI 1063461481

Medicare reassignment NPD CT
University of Connecticut Health Center Durable Medical Equipment & Medical Supplies · Farmington, CT · NPI 1104809375

Care Compare group NPD
Midstate Medical Center General Acute Care Hospital · Meriden, CT · NPI 1154425288

Medicare reassignment CT
Midstate Medical Center General Acute Care Hospital · Meriden, CT · NPI 1427007848

NPD
The Hospital of Central Connecticut at New Britain General and Bradley Psychiatric Hospital Unit · New Britain, CT · NPI 1992867006

NPD
Trinity Health of New England Provider Network Organization Inc Internal Medicine Physician · Waterville, ME · NPI 1134779531

NPD
Pinehurst Medical Clinic, Inc. Internal Medicine Physician · Pinehurst, NC · NPI 1255388369

NPD (past)

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Saint Francis Hospital and Medical Center Psychiatric Hospital Unit · Hartford, CT · NPI 1144234428

Care Compare affiliation Hospital
Saint Francis Hospital and Medical Center General Acute Care Hospital · Hartford, CT · NPI 1407833486

Care Compare affiliation Hospital
Saint Francis Hospital and Medical Center General Acute Care Hospital · Hartford, CT · NPI 1871713495

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2004
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Trinity Health of New England Provider Network Organization Inc (644 clinicians)
University of Connecticut Health Center (624 clinicians)

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

Hospital & facility affiliations

St Francis Hospital & Medical Center Hospital · Hartford, CT · CCN 070002

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20080627000260	CT	Practitioner - Physician Assistant	5597868711	Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
1924	CT	MD	Occupational Therapy Assistant
001000962	NC	MD	Physician Assistant

Practice roles

Organization	Status	New patients
The Hospital of Central Connecticut at New Britain General and Bradley	Current since Jun 28, 2017	Accepting new patients
University of Connecticut Health Center	Current since Apr 1, 2024	Accepting new patients
Trinity Health of New England Provider Network Organization Inc	Current since Mar 10, 2008	Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley	Current since Jun 28, 2017	Accepting new patients
University of Connecticut Health Center	Current since Apr 1, 2024	Accepting new patients
Midstate Medical Center	Current since Jun 1, 2017	Accepting new patients
Pinehurst Medical Clinic, Inc.	Past	Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

Interoperability endpoints

Direct secure messaging: lcalavan2388113@direct.trinity-health.org

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	001000962	NC
Surgical Physician Assistant	363AS0400X	1924	CT	Yes

Addresses

Primary practice location

1000 Asylum Ave
Suite 2109a
Hartford, CT 06105-1770

Mailing address

263 Farmington Ave
Farmington, CT 06030-8082
Phone (860) 679-2000

Other practice location 1

263 Farmington Avenue
Farmington, CT 06030-0001
Phone (860) 679-2000

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	lcalavan9712@direct.stfranciscare.org	Direct

Other providers in Hartford, CT

All providers in Hartford, CT · Surgical Physician Assistant in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.