NPIMap

Individual provider Active NPI

Robert W McAllister, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Rocky Hill, CT
National Provider Identifier
1386608990
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
034572 Issued in CT
Practice address
1111 Cromwell Ave Ste 404
Rocky Hill, CT 06067
Phone
(860) 525-4469
Fax
(860) 278-8032
NPI assigned
Apr 12, 2006
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 034572 CT Primary

Addresses

Primary practice location

1111 Cromwell Ave Ste 404
Rocky Hill, CT 06067

Mailing address

1111 Cromwell Ave Ste 302
Rocky Hill, CT 06067-3455
Phone (860) 525-4469

Other practice location 1

31 Ensign Dr
Avon, CT 06001-3773
Phone (860) 525-4469

Other identifiers 1

IdentifierTypeStateIssuer
1345728MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100717000266 CT Practitioner - Orthopedic Surgery 3476685090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Connecticut School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

31 Ensign Dr
Avon, CT 06001-3773
Phone (860) 525-4469

75 Great Pond Rd
Simsbury, CT 06070-1980

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement21
Knee replacement41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
034572CTMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgical Partners, PC CurrentSince Aug 1, 1995 Accepting new patients
Orthopedic Surgical Partners, P.C. Adult Reconstructive Orthopaedic Surgery CurrentSince Aug 1, 1995 Accepting new patients
Lighthouse Surgery Center, LLC Adult Reconstructive Orthopaedic Surgery PastSince Sep 17, 2020 Accepting new patients

Locations

31 Ensign Dr
Avon, CT 06001
Phone (860) 409-9125

277 Middle Tpke W
Manchester, CT 06040
Phone (860) 432-4640

1111 Cromwell Ave
Ste 302
Rocky Hill, CT 06067

1111 Cromwell Ave
Ste 403
Rocky Hill, CT 06067

1111 Cromwell Ave
Ste 404
Rocky Hill, CT 06067
Phone 8605254469112

Interoperability endpoints

  • Direct secure messaging: rmcallister2389303@direct.trinity-health.org

Organizations & group practices 6

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 6

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1386608990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CROMWELL AVE STE 302",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673455",
            "telephone_number": "860-525-4469",
            "fax_number": "860-278-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CROMWELL AVE STE 404",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-525-4469",
            "fax_number": "860-278-8032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Ensign Dr",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060013773",
            "country_code": "US",
            "telephone_number": "860-525-4469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "ROBERT",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CT",
            "license": "034572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1345728",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.