Individual provider Active NPI

Kelly E Cafferty, PA-C

  • Physician Assistant
  • Hartford, CT
National Provider Identifier
1861645699
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002142 Issued in CT
Practice address
80 Seymour Street
Hartford Hospital Orthopedics Dept
Hartford, CT 06102
Phone
(860) 545-2245
NPI assigned
Oct 24, 2008
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002142 CT Primary

Addresses

Primary practice location

80 Seymour Street
Hartford Hospital Orthopedics Dept
Hartford, CT 06102

Mailing address

1030 Main St
Hartford Hospital Professional Services
Waltham, MA 02451-7447
Phone (781) 894-6900

Other identifiers 1

IdentifierTypeStateIssuer
003021425MedicaidCT

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
I20081211000029 CT Practitioner - Physician Assistant 8022179936 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

150 Enterprise Dr
Rocky Hill, CT 06067-3579
Phone (860) 549-8276

31 Seymour St
Suite 100
Hartford, CT 06106-5521
Phone (860) 549-3210

345 Western Blvd
Glastonbury, CT 06033-4380
Phone (860) 549-3210

80 Seymour St
Hartford, CT 06102-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.04 of 100Reported as group
Quality
98.06
Promoting interoperability
100
Improvement activities
40
Cost
82.07

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002142CTMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Mar 1, 2026 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Aug 15, 2018 Accepting new patients
Hartford Hospital CurrentSince Oct 1, 2019 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Aug 15, 2018 Accepting new patients
Hartford Hospital CurrentSince Oct 1, 2019 Accepting new patients
Hartford Hospital CurrentSince Oct 1, 2019 Accepting new patients
Orthopedic Associates of Hartford,PC Past Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8276

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

Interoperability endpoints

  • Direct secure messaging: kelly.honsinger@xdr.hhchealthdirect.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1861645699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MAIN ST",
            "address_2": "HARTFORD HOSPITAL PROFESSIONAL SERVICES",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517447",
            "telephone_number": "781-894-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR STREET",
            "address_2": "HARTFORD HOSPITAL ORTHOPEDICS DEPT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06102",
            "telephone_number": "860-545-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFFERTY",
        "first_name": "KELLY",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003021425",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.