Individual provider Active NPI

Kelly Elizabeth Smyth, PA-C

  • Surgical Physician Assistant
  • New Britain, CT
National Provider Identifier
1730634791
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3654 Issued in CT
Practice address
183 N Mountain Rd Ste 207
New Britain, CT 06053-4325
Phone
(860) 696-2040
Fax
(860) 696-2050
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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 3654 CT Primary

Addresses

Primary practice location

183 N Mountain Rd Ste 207
New Britain, CT 06053-4325

Mailing address

183 N Mountain Rd Ste 207
New Britain, CT 06053-4325
Phone (860) 696-2040

Other identifiers 1

IdentifierTypeStateIssuer
085.006397OtherILIL PA LICENSE

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
I20161108002473 CT Practitioner - Physician Assistant 8527347806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York at Stony Brook, School of Medicine, 2016
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)

10 Jolley Dr
Bloomfield, CT 06002-3061
Phone (860) 286-2470

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

435 Lewis Ave
Meriden, CT 06451-2101

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

85 Seymour St
Hartford, CT 06106-5501
Phone (860) 696-4306

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

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care, Inc CurrentSince Jul 3, 2023 Accepting new patients
MHS Primary Care Inc CurrentSince Jul 3, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Surgical CurrentSince Jun 15, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 15, 2023 Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients

Locations

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

4185 Black Rock Tpke
Ste 201
Fairfield, CT 06824

14 Jones Hollow Rd
Ste 2
Marlborough, CT 06447

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

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

540 Saybrook Rd
Ste 100A
Middletown, CT 06457
Phone (860) 347-9377

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

183 N Mountain Rd
Ste 207
New Britain, CT 06053
Phone (860) 524-2610

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

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

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: kelly.smyth@xdr.hhchealthdirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1730634791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 N MOUNTAIN RD STE 207",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060534325",
            "telephone_number": "860-696-2040",
            "fax_number": "860-696-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 N MOUNTAIN RD STE 207",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060534325",
            "telephone_number": "860-696-2040",
            "fax_number": "860-696-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "3654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL PA LICENSE",
            "identifier": "085.006397",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.