Kenneth J Paonessa, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · North Franklin, CT
NPI 1386695096 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1386695096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 030571 (CT)
- Practice address
- 82 New Park Ave
North Franklin, CT 06254-1807 - Phone
- (860) 889-7345
- Fax
- (860) 885-7228
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Rutgers New Jersey Medical School, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Norwich Orthopedic Group PC
Practice addresses (Care Compare)
82 New Park Ave
North Franklin, CT 06254-1807
Phone (860) 889-7345
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090126000116 | CT | Practitioner - Orthopedic Surgery | 6406885573 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172277 | CT | MD | Orthopaedic Trauma Physician |
| 030571 | CT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwich Orthopedic Group, P.C. | Orthopaedic Surgery | Current |
Accepting new patients |
| Norwich Orthopedic Group, P.C. | Orthopaedic Surgery | Current |
Accepting new patients |
Locations
82 New Park Ave
North Franklin, CT 06254
Phone (860) 889-7345
Interoperability endpoints
- kennethpaonessa@nog.allscriptsdirect.net
- kpaonessa98756@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 172277 | CT | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 172277 | CT | |
| Orthopaedic Trauma Physician | 207XX0801X | 172277 | CT | |
| Diagnostic Radiology Physician | 2085R0202X | 030571 | CT | Yes |
Addresses
Primary practice location
82 New Park Ave
North Franklin, CT 06254-1807
Mailing address
82 New Park Ave
North Franklin, CT 06254-1807
Phone (860) 889-7345
Other providers in North Franklin, CT
- Christian E Miglio
- Victoria Lynn Morrell
- Norwich Orthopedic Group, P.C.
- John Pantuosco II
- Peter Jesse Panzarella
- Kristina Parent
- Mohammad Pasha
- Nimit Patel
- Prachi Vijay Patel
- Thomas Brian Patrick
All providers in North Franklin, CT · Diagnostic Radiology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. 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.