Active NPI
Michael Cassetta, D.O.
- Rheumatology Physician
- Trumbull, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 042092
- Practice address
- 15 Corporate Dr
Suite 2-1
Trumbull, CT 06611-1351 - Phone
- (203) 452-2446
- Fax
- (203) 452-2424
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 042092 | CT | Primary |
Addresses
Primary practice location
15 Corporate Dr
Suite 2-1
Trumbull, CT 06611-1351
Mailing address
15 Corporate Dr
Suite 2-1
Trumbull, CT 06611-1351
Phone (203) 452-2446
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3560058 | Other | CT | AETNA |
| P3187877 | Other | CT | OXFORD HEALTH PLANS |
| 042092 | Other | CT | CONNECTICARE, INC & AFFIL |
| CV8755 | Other | CT | HEALTHNET |
| 040042092CT01 | Other | CT | ANTHEM BLUE CROSS BLUE SH |
| 4233361 | Other | CT | CIGNA HEALTHCARE OF CT |
| P00250757 | Other | CT | RAILROAD MEDICARE PTAN |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rehabilitation Associates Inc
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
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681
2800 Main St
Bridgeport, CT 06606-4201
425 Post Rd
Fairfield, CT 06824-6232
Phone (203) 254-2452
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042092 | CT | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients |
Locations
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
15 Corporate Dr
Ste 2-1
Trumbull, CT 06611
Phone (203) 452-2446
Interoperability endpoints
- michael.cassetta@xdr.hhchealthdirect.org
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1942224696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1811916505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CORPORATE DR",
"address_2": "SUITE 2-1",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066111351",
"telephone_number": "203-452-2446",
"fax_number": "203-452-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CORPORATE DR",
"address_2": "SUITE 2-1",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066111351",
"telephone_number": "203-452-2446",
"fax_number": "203-452-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSETTA",
"first_name": "MICHAEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CT",
"license": "042092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3560058",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P3187877",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE, INC & AFFIL",
"identifier": "042092",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "CV8755",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "040042092CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE OF CT",
"identifier": "4233361",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00250757",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.