Active NPI
Lindy Carelli
- Surgical Physician Assistant
- Norwich, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 4758
- Practice address
- 330 Washington St Ste 410
Norwich, CT 06360-2700 - Phone
- (860) 425-8740
- NPI assigned
- Feb 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 4758 | CT | Primary |
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
330 Washington St Ste 410
Norwich, CT 06360-2700
Mailing address
330 Washington St
Ste 410
Norwich, CT 06360-2700
Phone (702) 498-3223
Other names 1
- Lindy Deal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Tufts University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 Parkers LN
Alexandria, VA 22306-3209
Phone (877) 511-4625
3300 Gallows Rd
Falls Church, VA 22042-3307
4320 Seminary Rd
Alexandria, VA 22304-1535
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4758 | CT | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients |
Locations
8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
dba Inova Mount Vernon Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1699307199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 WASHINGTON ST",
"address_2": "STE 410",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602700",
"telephone_number": "702-498-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 WASHINGTON ST STE 410",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602700",
"telephone_number": "860-425-8740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARELLI",
"first_name": "LINDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-12",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "4758",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDY",
"last_name": "DEAL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.