Individual provider Active NPI

Michael L Harris, PA-C

  • Surgical Physician Assistant
  • Hartford, CT
National Provider Identifier
1730525593
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2925 Issued in CT
Practice address
1000 Asylum Ave
Suite 4307
Hartford, CT 06105-1770
Phone
(860) 714-4381
NPI assigned
May 20, 2013
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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 2925 CT Primary

Addresses

Primary practice location

1000 Asylum Ave
Suite 4307
Hartford, CT 06105-1770

Mailing address

1000 Asylum Ave Ste 4307
Hartford, CT 06105-1704
Phone (860) 714-4381

Other practice location 1

263 Farmington Ave
Farmington, CT 06030-4038
Phone (860) 679-6600

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
I20130813000575 CT Practitioner - Physician Assistant 9739321233 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedics New EnglandGroup PAC ID 9335108547, 19 clinicians
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

224 Hartford Tpke
Vernon, CT 06066-4763
Phone (860) 728-6740

35 Jolley Dr
Suite 301
Bloomfield, CT 06002-4228
Phone (860) 242-3000

64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-6263

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2925CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jul 22, 2013 Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince Aug 8, 2025 Accepting new patients
Advanced Orthopedics New England CurrentSince Feb 1, 2015 Accepting new patients
Advanced Orthopedics New England CurrentSince Feb 1, 2015 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

35 Jolley Dr
Ste 301
Bloomfield, CT 06002
Phone (860) 242-3000

1000 Asylum Ave
Ste 2126
Hartford, CT 06105
Phone (860) 242-3000

1000 Asylum Ave
Ste 4307
Hartford, CT 06105
Phone (860) 278-3812

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

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

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

Interoperability endpoints

  • Direct secure messaging: michael.harris.1@27677.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1730525593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE STE 4307",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051704",
            "telephone_number": "860-714-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 4307",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-714-4381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060304038",
            "country_code": "US",
            "telephone_number": "860-679-6600",
            "fax_number": "860-679-6604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "2925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.