Individual provider Active NPI

Melanie J Kirouac, PA

  • Physician Assistant
  • Torrington, CT
National Provider Identifier
1396733671
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5778 Issued in CT
Practice address
538 Litchfield St Ste 104
Torrington, CT 06790-6669
Phone
(860) 496-6257
Fax
(860) 496-6219
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5778 CT Primary
Medical Physician Assistant 363AM0700X PA1772 MA
Surgical Physician Assistant 363AS0400X PA1772 MA

Addresses

Primary practice location

538 Litchfield St Ste 104
Torrington, CT 06790-6669

Mailing address

538 Litchfield St Ste 104
Torrington, CT 06790-6669
Phone (860) 496-6257

Other practice location 1

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 794-8020

Other names 1

  • Ms. Melanie J Krupa Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220822003582 CT Practitioner - Physician Assistant 5597735423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
The Charlotte Hungerford HospitalGroup PAC ID 4486557501, 206 clinicians

Practice addresses (Care Compare)

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

30 Loeffler Rd
Bloomfield, CT 06002-2256
Phone (860) 380-5150

538 Litchfield St
Torrington, CT 06790-6669

540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-9669

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1772MAMDBehavioral Analyst
5778CTMDOccupational Therapist
PA1772MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 1, 2022 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Oct 1, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Surgical CurrentSince Sep 1, 2022 Accepting new patients
Hampden County Physician Associates, LLC. Past Accepting new patients
Hampden County Physician Associates, LLC Past Accepting new patients
Heather Wark MD LLC Past Accepting new patients

Locations

200 Seabury Dr
Bloomfield, CT 06002
Phone (860) 236-2320

1 John H Stewart Dr
Newington, CT 06111
Phone (860) 607-4453

75 Great Pond Rd
Simsbury, CT 06070
Phone (860) 658-3700

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

538 Litchfield St
Ste 104
Torrington, CT 06790
Phone (860) 482-3003

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: melanie.kirouac@xdr.hhchealthdirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1396733671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 LITCHFIELD ST STE 104",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906669",
            "telephone_number": "860-496-6257",
            "fax_number": "860-496-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 LITCHFIELD ST STE 104",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906669",
            "telephone_number": "860-496-6257",
            "fax_number": "860-496-6219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071619",
            "country_code": "US",
            "telephone_number": "413-794-8020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIROUAC",
        "first_name": "MELANIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "5778",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA1772",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA1772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "KRUPA",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.