Individual provider Active NPI

Pietro Rondinelli, P.A.-C

  • Physician Assistant
  • South Windsor, CT
National Provider Identifier
1831408632
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2472 Issued in CT
Practice address
2400 Tamarack Ave Ste 101
South Windsor, CT 06074-5556
Phone
(860) 644-4442
NPI assigned
Sep 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-05676 NC
Physician Assistant 363A00000X 2472 CT Primary

Addresses

Primary practice location

2400 Tamarack Ave Ste 101
South Windsor, CT 06074-5556

Mailing address

2400 Tamarack Ave Ste 101
South Windsor, CT 06074-5556
Phone (860) 644-4442

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
I20110223001172 CT Practitioner - Physician Assistant 9234310210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connecticut Gi PLLCGroup PAC ID 9830110758, 243 clinicians

Practice addresses (Care Compare)

85 Seymour St
Suite 1000
Hartford, CT 06106-5529
Phone (860) 246-2571

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.99 of 100Reported as group
Quality
89.16
Promoting interoperability
100
Improvement activities
40
Cost
78.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002472CTMDProfessional Counselor
2472CTMDPhysician Assistant
0010-05676NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Litchfield County Gastroenterology Associates, LLC Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Past Accepting new patients
Trinity Health of New England Provider Network Organization Inc Past Accepting new patients
Advanced Orthopedics New England Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pietro.rondinelli@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": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1831408632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 TAMARACK AVE STE 101",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060745556",
            "telephone_number": "860-644-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 TAMARACK AVE STE 101",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060745556",
            "telephone_number": "860-644-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDINELLI",
        "first_name": "PIETRO",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-28",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05676",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "2472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.