NPIMap

Organization Active NPI

Orthopedic Surgical Partners, P.C

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Avon, CT
National Provider Identifier
1487964599
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
34572 Issued in CT
Legal business name
ORTHOPEDIC SURGICAL PARTNERS, P.C
Practice address
31 Ensign Dr
Avon, CT 06001-3773
Phone
(860) 751-6039
Fax
(860) 409-0714
NPI assigned
Oct 8, 2010
Organization subpart
Yes
Parent organization
ORTHOPEDIC SURGICAL PARTNERS, P.CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Robert McAllister, MDNPI 1386608990
Title
President
Phone
(860) 525-4469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 15927 CT
Orthopaedic Hand Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0106X 22280 CT
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0114X 34572 CT Primary

Addresses

Primary practice location

31 Ensign Dr
Avon, CT 06001-3773

Mailing address

1111 Cromwell Ave Ste 403
Rocky Hill, CT 06067-3454
Phone (860) 525-4469

Other names 1

  • Hartford orthopedic Surgeons, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130912000278 CT DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1355394115 Practice locations: Avon, CT

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Hartford Orthopedic Sur

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1487964599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CROMWELL AVE STE 403",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673454",
            "telephone_number": "860-525-4469",
            "fax_number": "860-999-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ENSIGN DR",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013773",
            "telephone_number": "860-751-6039",
            "fax_number": "860-409-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SURGICAL PARTNERS, P.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPEDIC SURGICAL PARTNERS, P.C",
        "enumeration_date": "2010-10-08",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-525-4469",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "15927",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CT",
            "license": "22280",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CT",
            "license": "34572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartford orthopedic Surgeons, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.