NPIMap

Individual provider Active NPI

Christopher Alan Cavanna, PAC

  • Physician Assistant
  • Manchester, CT
National Provider Identifier
1669524526
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000530 Issued in CT
Practice address
71 Haynes St
Manchester, CT 06040-4131
Phone
(860) 647-4721
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000530 CT Primary

Addresses

Primary practice location

71 Haynes St
Manchester, CT 06040-4131

Mailing address

233 Ludlow Rd
Manchester, CT 06040-4546
Phone (860) 990-1422

Other names 1

  • Mr. Chris Alan Cavanna Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510001058 CT Practitioner - Physician Assistant 7810937711 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

18 Haynes St
Uppr Level
Manchester, CT 06040-4111
Phone (860) 649-7557

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 647-6800

Hospital & facility affiliations

  • Greater Manchester Homecare, LLC Home health agency, Vernon, CT, CCN 077003
  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
530CTMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Nov 1, 2024 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince May 1, 2018 Accepting new patients
Midstate Medical Center CurrentSince Jul 29, 2017 Accepting new patients
Hartford Hospital CurrentSince Aug 21, 2001 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince May 1, 2018 Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Past Accepting new patients
Hartford Physician Services PC Physician Assistant Past Accepting new patients

Locations

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

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1060 Day Hill Rd
Windsor, CT 06095
Phone (860) 683-2690

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: ccavanna3753543@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1669524526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 LUDLOW RD",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404546",
            "telephone_number": "860-990-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131",
            "telephone_number": "860-647-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANNA",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "CAVANNA",
            "middle_name": "ALAN",
            "prefix": "MR.",
            "credential": "PAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.