Phillips Andre Cloutier, PA-C
Individual provider Active NPI Medical Physician Assistant · Hartford, CT
NPI 1487320974 · NPPES record last updated Aug 9, 2023
Key facts
- NPI
- 1487320974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 23.005372 (CT)
- Practice address
- 80 Seymour St
Hartford, CT 06102-8000 - Phone
- (860) 972-2085
- NPI assigned
- Aug 17, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hartford Healthcare Medical Group Specialists PLLC
Hartford Hospital
Practice addresses (Care Compare)
1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 827-7695
80 Seymour St
Hartford, CT 06102-8000
Hospital & facility affiliations
- Hartford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.63 of 100
- Quality
- 75.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210930001566 | CT | Practitioner - Physician Assistant | 5395142541 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23.005372 | CT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Current |
Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current |
Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current |
Accepting new patients | |
| Hartford Hospital | Current |
Accepting new patients |
Locations
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- phillips.cloutier@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 23.005372 | CT | Yes |
| Physician Assistant | 363A00000X | 23.005372 | CT |
Addresses
Primary practice location
80 Seymour St
Hartford, CT 06102-8000
Mailing address
1290 Silas Deane Highway
HHC - Cvo
Wethersfield, CT 06109-4337
Other providers in Hartford, CT
- Erin Patricia Clifford
- Clinisanitas
- Cloud-Shine Counseling Services LLC
- Christina Clout
- Michelle M. Cloutier
- Monica Rae Cluff
- CNC Celestial Home Care LLC
- Evadne C Coache
- Sophia Theresa Cobham
- Katie Coble
All providers in Hartford, CT · Medical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2023. 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.