Individual provider Active NPI

Michelle Catherine Savarese, PA-C

  • Surgical Physician Assistant
  • Hartford, CT
National Provider Identifier
1487700316
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
001848 Issued in CT
Practice address
1000 Asylum Ave
Suite 3208
Hartford, CT 06105-1770
Phone
(860) 522-7121
Fax
(860) 244-3516
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 001848 CT Primary

Addresses

Primary practice location

1000 Asylum Ave
Suite 3208
Hartford, CT 06105-1770

Mailing address

1000 Asylum Ave
Suite 3208
Hartford, CT 06105-1770
Phone (860) 522-7121

Other names 1

  • Michelle Catherine Matura Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmatura15712@direct.stfranciscare.org Direct

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
I20090116000411 CT Practitioner - Physician Assistant 2062575012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208

852 Cottage Grove Rd
Bloomfield, CT 06002-2908
Phone (860) 714-8750

Hospital & facility affiliations

  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1848CTMDClinical Psychologist
001848CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jul 15, 2023 Accepting new patients

Locations

852 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 714-5895

1154 Highland Ave
Cheshire, CT 06410
Phone (203) 679-3533

1000 Asylum Ave
Ste 2107A
Hartford, CT 06105
Phone (860) 714-5895

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

95 Woodland St
Fl 1
Hartford, CT 06105
Phone (860) 714-7362

Interoperability endpoints

  • Direct secure messaging: msavarese3000079@direct.trinity-health.org

Organizations & group practices 2

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1487700316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 3208",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-522-7121",
            "fax_number": "860-244-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 3208",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-522-7121",
            "fax_number": "860-244-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVARESE",
        "first_name": "MICHELLE",
        "middle_name": "CATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "001848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmatura15712@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "trinity health of new england direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1000 Asylum Ave Ste 2107A",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061051719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MATURA",
            "middle_name": "CATHERINE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.