Individual provider Active NPI

Christina P. Filippakis, PA-C

  • Medical Physician Assistant
  • Bridgeport, CT
National Provider Identifier
1780178285
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4272 Issued in CT
Practice address
401 Myrtle Ave
Bridgeport, CT 06604-5444
Phone
(203) 814-7166
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4272 CT Primary

Addresses

Primary practice location

401 Myrtle Ave
Bridgeport, CT 06604-5444

Mailing address

401 Myrtle Ave
Bridgeport, CT 06604-5444
Phone (203) 814-7166

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
I20181114000812 CT Practitioner - Physician Assistant 9436403219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Medical Associates, LLCGroup PAC ID 7214107515, 113 clinicians

Practice addresses (Care Compare)

1040 Barnum Ave
Stratford, CT 06614-4968
Phone (860) 650-3848

2165 Dixwell Ave
Hamden, CT 06514-2116
Phone (860) 650-3848

236 Boston Post Rd
Orange, CT 06477-3236
Phone (860) 650-3848

900 Main St S
Suite 100
Southbury, CT 06488-4213
Phone (860) 650-3848

Hospital & facility affiliations

  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WRK Ventures, LLC Past Accepting new patients

Organizations & group practices 2

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 2

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1780178285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MYRTLE AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066045444",
            "telephone_number": "203-814-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MYRTLE AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066045444",
            "telephone_number": "203-814-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIPPAKIS",
        "first_name": "CHRISTINA",
        "middle_name": "P.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "4272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.