Individual provider Active NPI

Jeffrey Michael O'Connor, PA

  • Physician Assistant
  • Hartford, CT
National Provider Identifier
1730345117
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002132 Issued in CT
Practice address
85 Seymour St
Suite 409
Hartford, CT 06106-5501
Phone
(860) 522-4158
NPI assigned
Aug 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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 002132 CT Primary

Addresses

Primary practice location

85 Seymour St
Suite 409
Hartford, CT 06106-5501

Mailing address

330 Washington St
Ste 520
Norwich, CT 06360-2700
Phone (860) 545-7602

Other identifiers 1

IdentifierTypeStateIssuer
003021326MedicaidCT

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
I20090604000052 CT Practitioner - Physician Assistant 2961412044 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

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

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 827-7695

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

330 Washington St
Norwich, CT 06360-2700

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-0549

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2132CTMDSocial Worker
002132CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Sep 2, 2008 Accepting new patients
Hartford Pathology Associates, P.C. Current Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
Midstate Medical Center CurrentSince Nov 26, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jun 1, 2019 Accepting new patients
MHS Primary Care Inc Physician Assistant CurrentSince Feb 1, 2023 Accepting new patients
Hartford Healthcare Medical Group, Inc Physician Assistant CurrentSince Mar 1, 2015 Accepting new patients
MHS Primary Care Inc. Physician Assistant CurrentSince Feb 1, 2023 Accepting new patients
MHS Primary Care, Inc Physician Assistant Past Accepting new patients
The Charlotte Hungerford Hospital Past Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients

Locations

10 Jolley Dr
#102
Bloomfield, CT 06002
Phone (860) 286-2470

2660 Main St
Ste 210
Bridgeport, CT 06606
Phone (203) 334-2246

4185 Black Rock Tpke
Ste 201
Fairfield, CT 06824

85 Seymour St
Ste 409
Hartford, CT 06106
Phone (860) 522-4158

85 Seymour St
Ste 227
Hartford, CT 06106
Phone (860) 545-1888

376 Tolland Tpke
Ste 202
Manchester, CT 06042
Phone (860) 696-4923

14 Jones Hollow Rd
Ste 2
Marlborough, CT 06447

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

455 Lewis Ave
Ste 216
Meriden, CT 06451
Phone (203) 288-2886

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

540 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (860) 347-6683

100 Grand St
#B
New Britain, CT 06052

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

330 Washington St
Ste 520
Norwich, CT 06360
Phone (860) 886-1949

12 Case St
Ste 313
Norwich, CT 06360
Phone (860) 204-9126

201 N Mountain Rd
Ste 202
Plainville, CT 06062
Phone (860) 224-4408

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

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

780 Litchfield St
Ste 3
Torrington, CT 06790
Phone (860) 496-9669

676 N Saint Clair St
#101000
Chicago, IL 60611

Interoperability endpoints

  • Direct secure messaging: jeffrey.o'connor@xdr.hhchealthdirect.org

Organizations & group practices 14

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 14

Hospital & facility affiliations 10

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1730345117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST",
            "address_2": "STE 520",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602700",
            "telephone_number": "860-545-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 409",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-522-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003021326",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.