Individual provider Active NPI

Michael Tansey, PA-C

  • Medical Physician Assistant
  • Groton, CT
National Provider Identifier
1528432416
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00850 Issued in RI
Practice address
22 Partridge Rd
22 Partridge Rd
Groton, CT 06340-4323
Phone
(401) 932-3505
NPI assigned
Nov 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00850 RI Primary

Addresses

Primary practice location

22 Partridge Rd
22 Partridge Rd
Groton, CT 06340-4323

Mailing address

22 Partridge Rd
22 Partridge Rd
Groton, CT 06340-4323
Phone (401) 932-3505

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
I20160707001546 CT Practitioner - Physician Assistant 6608168950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA00850RIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
William W Backus Hospital CurrentSince Apr 23, 2016 Accepting new patients

Locations

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

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.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1528432416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PARTRIDGE RD",
            "address_2": "22 PARTRIDGE RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404323",
            "telephone_number": "401-932-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PARTRIDGE RD",
            "address_2": "22 PARTRIDGE RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404323",
            "telephone_number": "401-932-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANSEY",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA00850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

Verify at the official NPI Registry.