Individual provider Active NPI

Katherine Podraza, MD PHD

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Mystic, CT
National Provider Identifier
1457731986
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
73320 Issued in CT
Practice address
100 Perkins Farm Dr Ste 303
Mystic, CT 06355-4041
Phone
(860) 696-2925
NPI assigned
May 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A147830 CA
Neurology Physician 2084N0400X 73320 CT
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 73320 CT Primary

Addresses

Primary practice location

100 Perkins Farm Dr Ste 303
Mystic, CT 06355-4041

Mailing address

100 Perkins Farm Dr Ste 303
Mystic, CT 06355-4041
Phone (860) 696-2925

Other practice location 1

1441 Kapiolani Blvd Ste 512
Honolulu, HI 96814-4403
Phone (808) 556-7984 ext. 67984

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230207002732 CT Practitioner - Neurology 5092069054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Loyola University of Chicago, Stritch School of Medicine, 2015
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

Practice addresses (Care Compare)

100 Perkins Farm Dr
Suite 303
Mystic, CT 06355-4041
Phone (860) 886-1433

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A147830CAMDNeurology Physician
73320CTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Neurology CurrentSince Mar 27, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Mar 27, 2023 Accepting new patients
Ola Migraine Inc. Neurology Current Accepting new patients
The William W Backus Hospital Past Accepting new patients
UCLA Medical Group Neurology Past Accepting new patients
University of California - Irvine Medical Center Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

100 Perkins Farm Dr
Ste 303
Mystic, CT 06355
Phone (860) 886-1433

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

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

1441 Kapiolani Blvd
Ste 512
Honolulu, HI 96814
Phone 8085567984 ext. 67984

Interoperability endpoints

  • Direct secure messaging: katherine.podraza@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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1457731986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PERKINS FARM DR STE 303",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063554041",
            "telephone_number": "860-696-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PERKINS FARM DR STE 303",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063554041",
            "telephone_number": "860-696-2925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Kapiolani Blvd Ste 512",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144403",
            "country_code": "US",
            "telephone_number": "808-556-7984 x67984",
            "fax_number": "808-468-4043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODRAZA",
        "first_name": "KATHERINE",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A147830",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "73320",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CT",
            "license": "73320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

Verify at the official NPI Registry.