Individual provider Active NPI

Kimberly A Sweezy, PA

  • Surgical Physician Assistant
  • Torrington, CT
National Provider Identifier
1497086854
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
245 Alvord Park Rd
Torrington, CT 06790-3493
Phone
(860) 482-8539
Fax
(860) 482-0258
NPI assigned
Jan 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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 Primary

Addresses

Primary practice location

245 Alvord Park Rd
Torrington, CT 06790-3493

Mailing address

270 Farmington Ave
Ste 102
Farmington, CT 06032-1920
Phone (860) 549-8276

Other identifiers 1

IdentifierTypeStateIssuer
D400068239OtherCTMEDICARE - NGS

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
I20100512000027 CT Practitioner - Physician Assistant 4688702715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.04 of 100Reported as group
Quality
98.06
Promoting interoperability
100
Improvement activities
40
Cost
82.07

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Hartford,PC CurrentSince Jun 26, 2017 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Jun 26, 2017 Accepting new patients
Renew Wound Care of Connecticut PLLC CurrentSince Dec 15, 2025 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Past Accepting new patients

Locations

23 Fair St
Bristol, CT 06010
Phone (860) 347-6300

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8208

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

Organizations & group practices 5

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": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1497086854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 FARMINGTON AVE",
            "address_2": "STE 102",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321920",
            "telephone_number": "860-549-8276",
            "fax_number": "860-674-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 ALVORD PARK RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903493",
            "telephone_number": "860-482-8539",
            "fax_number": "860-482-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEEZY",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - NGS",
            "identifier": "D400068239",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.