Individual provider Active NPI

Andrea Little, MD, MBA

  • Plastic Surgery Physician
  • South Windsor, CT
National Provider Identifier
1356793806
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
70849 Issued in CT
Practice address
2800 Tamarack Ave Ste 104
South Windsor, CT 06074-5553
Phone
(860) 533-4692
NPI assigned
Jul 8, 2016
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 70849 CT
Plastic Surgery Physician 208200000X 4301110548 MI
Plastic Surgery Physician 208200000X 70849 CT Primary

Addresses

Primary practice location

2800 Tamarack Ave Ste 104
South Windsor, CT 06074-5553

Mailing address

2800 Tamarack Ave Ste 104
South Windsor, CT 06074-5553
Phone (860) 533-4692

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230808003081 CT Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 0840652889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

2800 Tamarack Ave
Suite 103
South Windsor, CT 06074-5553
Phone (860) 533-4678

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70849CTMDPlastic Surgery Physician
4301110548MIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Access P.C. Current Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Grmep Past Accepting new patients
Grand Rapids Medical Education Partners Past Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

2800 Tamarack Ave
Ste 103
South Windsor, CT 06074
Phone (860) 337-2014

2800 Tamarack Ave
Ste 103104
South Windsor, CT 06074

2800 Tamarack Ave
Ste 104
South Windsor, CT 06074
Phone (860) 533-4686

Interoperability endpoints

  • Direct secure messaging: andrealittle@mpp.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1356793806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 TAMARACK AVE STE 104",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060745553",
            "telephone_number": "860-533-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 TAMARACK AVE STE 104",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060745553",
            "telephone_number": "860-533-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CT",
            "license": "70849",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301110548",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "70849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.