Kyle Barker, PA-C
Individual provider Active NPI Physician Assistant · Hartford, CT
NPI 1811733652 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1811733652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 6599 (CT)
- Practice address
- 114 Woodland St
Hartford, CT 06105-1208 - Phone
- (860) 714-4000
- NPI assigned
- Jul 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Health of New England Provider Network Organization Inc
Practice addresses (Care Compare)
114 Woodland St
Hartford, CT 06105-1208
Hospital & facility affiliations
- St Francis Hospital & Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240815002658 | CT | Practitioner - Physician Assistant | 9436697877 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Current |
Accepting new patients |
Locations
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
Interoperability endpoints
- kbarker3677253@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6599 | CT | Yes |
Addresses
Primary practice location
114 Woodland St
Hartford, CT 06105-1208
Mailing address
114 Woodland St
Hartford, CT 06105-1208
Other providers in Hartford, CT
- Shanshan Bao
- Kaveh Barami
- Lauren Barber
- Rachael Barber
- Brenda Jaime Bargielski
- Susan B Barksdale
- Barnaby Consulting LLC
- Brett R Barnes
- Courtney Anne Barnes
- Diane M Barnes
All providers in Hartford, CT · Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.