Active NPI
Alexander Gerard Zannella
- Surgical Physician Assistant
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 114 Woodland St
Hartford, CT 06105-1208 - Phone
- (860) 714-4000
- NPI assigned
- Jul 30, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
114 Woodland St
Hartford, CT 06105-1208
Mailing address
10 Glocester Rd
Narragansett, RI 02882-4804
Phone (401) 742-6882
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181205002496 | CT | Practitioner - Physician Assistant | 9739423542 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Health of New England Provider Network Organization IncAdvanced Orthopedics New England
Practice addresses (Care Compare)
1000 Asylum Ave
Suite 1075
Hartford, CT 06105-1770
Phone (860) 714-4327
114 Woodland St
Hartford, CT 06105-1208
224 Hartford Tpke
Vernon, CT 06066-4763
Phone (860) 728-6740
35 Jolley Dr
Suite 301
Bloomfield, CT 06002-4228
Phone (860) 242-3000
Hospital & facility affiliations
- St Francis Hospital & Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopedics New England | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Midstate Medical Center | Current | Accepting new patients |
Locations
35 Jolley Dr
Ste 301
Bloomfield, CT 06002
Phone (860) 242-3000
113 Elm St
Ste 101
Enfield, CT 06082
Phone (860) 253-0276
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
1084 Cromwell Ave
Ste 1
Rocky Hill, CT 06067
224 Hartford Tpke
Vernon Rockvl, CT 06066
Phone (860) 871-6939
Interoperability endpoints
- alexander.zannella.1@27677.direct.athenahealth.com
- azannella2386687@direct.trinity-health.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
CT
-
- Specialist
- Rocky Hill, CT
- NPI 1083905319
-
- Specialist
- Enfield, CT
- NPI 1427348770
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, CT
- NPI 1457803702
-
- Durable Medical Equipment & Medical Supplies
- Vernon, CT
- NPI 1528640836
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1427007848
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Hartford, CT
- NPI 1144234428
Hospital
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1407833486
Hospital
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1447738869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 GLOCESTER RD",
"city": "NARRAGANSETT",
"state": "RI",
"postal_code": "028824804",
"telephone_number": "401-742-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WOODLAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051208",
"telephone_number": "860-714-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANNELLA",
"first_name": "ALEXANDER",
"middle_name": "GERARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-30",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 30, 2018; 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.