Active NPI
Jason N Dacruz, PA
- Physician Assistant
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001947
- Practice address
- 85 Seymour St
Suite 607
Hartford, CT 06106-5501 - Phone
- (860) 549-3210
- Fax
- (860) 247-3803
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001947 | CT | Primary |
| Medical Physician Assistant | 363AM0700X | CT |
Addresses
Primary practice location
85 Seymour St
Suite 607
Hartford, CT 06106-5501
Mailing address
270 Farmington Ave
Suite 102
Farmington, CT 06032-1909
Phone (860) 549-8276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003019478 | Medicaid | CT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Enterprise Dr
Rocky Hill, CT 06067-3579
Phone (860) 549-8276
201 N Mountain Rd
Suite 302
Plainville, CT 06062-1848
Phone (860) 612-6800
31 Seymour St
Suite 100
Hartford, CT 06106-5521
Phone (860) 549-3210
345 Western Blvd
Glastonbury, CT 06033-4380
Phone (860) 549-3210
37 Main St
Hebron, CT 06248-1516
Hospital & facility affiliations
- Hartford Hospital
- The Hospital of Central Connecticut
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.04 of 100
- Quality
- 98.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001947 | CT | MD | Professional Counselor |
| 2161 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Current | Accepting new patients | |
| Orthopedic Associates of Hartford,PC | Current | Accepting new patients | |
| Orthopedic Associates of Hartford,PC | Current | Accepting new patients | |
| Orthopedic Associates of Hartford,PC | Past | Accepting new patients |
Locations
270 Farmington Ave
Ste 102
Farmington, CT 06032
499 Farmington Ave
Ste 300
Farmington, CT 06032
Phone (860) 549-8986
345 Western Blvd
Glastonbury, CT 06033
Phone (860) 549-8288
31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8208
85 Seymour St
Ste 607
Hartford, CT 06106
Phone 8605493210 ext. 8979
150 Enterprise Dr
Rocky Hill, CT 06067
Phone (860) 244-8857
Interoperability endpoints
- jason.dacruz@xdr.hhchealthdirect.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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Hartford, CT
- NPI 1972500304
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- Physical Therapy Clinic/Center
- Storrs, CT
- NPI 1639148125
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- Magnetic Resonance Imaging Radiologic Technologist
- Farmington, CT
- NPI 1043568249
-
- Durable Medical Equipment & Medical Supplies
- Enfield, CT
- NPI 1235922584
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1417034786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 FARMINGTON AVE",
"address_2": "SUITE 102",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321909",
"telephone_number": "860-549-8276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SEYMOUR ST",
"address_2": "SUITE 607",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065501",
"telephone_number": "860-549-3210",
"fax_number": "860-247-3803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DACRUZ",
"first_name": "JASON",
"middle_name": "N",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "001947",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003019478",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.