Active NPI
Brandon H Kusako, PHYSICIAN ASSISTANT
- Surgical Physician Assistant
- New Britain, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 5069
- Practice address
- 100 Grand St
New Britain, CT 06052-2016 - Phone
- (860) 223-0800
- Fax
- (860) 223-0444
- NPI assigned
- Oct 26, 2020
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5069 | CT | Primary |
Addresses
Primary practice location
100 Grand St
New Britain, CT 06052-2016
Mailing address
1290 Silas Deane Hwy
HHC Cvo
Wethersfield, CT 06109-4337
Phone (860) 972-5507
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5011
330 Boston Post Rd
Suite 240
Darien, CT 06820-3600
Phone (203) 548-7858
999 Summer St
Suite 100
Stamford, CT 06905-5513
Phone (203) 544-2008
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5069 | CT | MD | Surgical Physician Assistant |
| 005069 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Surgical | Current | Accepting new patients |
Locations
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- brandon.kusako.1@24391.direct.athenahealth.com
Organizations & group practices 3
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
Surgical
-
- Vascular Surgery Physician
- Darien, CT
- NPI 1649943424
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
dba The Hospital of Central Connecticut
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1831798362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 SILAS DEANE HWY",
"address_2": "HHC CVO",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094337",
"telephone_number": "860-972-5507",
"fax_number": "860-972-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GRAND ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060522016",
"telephone_number": "860-223-0800",
"fax_number": "860-223-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSAKO",
"first_name": "BRANDON",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "5069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.