Individual provider Active NPI

Lea Tripodi, PA-C

  • Physician Assistant
  • Manchester, CT
National Provider Identifier
1871230573
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
543 N Main St
Manchester, CT 06042-1935
Phone
(860) 432-8400
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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 Primary

Addresses

Primary practice location

543 N Main St
Manchester, CT 06042-1935

Mailing address

1504 Sullivan Ave
South Windsor, CT 06074-2711

Other practice location 1

1504 Sullivan Ave
South Windsor, CT 06074-2711
Phone (860) 432-8400

Other practice location 2

399 Farmington Ave
Farmington, CT 06032-1936
Phone (860) 432-8400

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
I20221026001232 CT Practitioner - Physician Assistant 6901272343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Specialists of Connecticut IncGroup PAC ID 0648558023, 2 clinicians

Practice addresses (Care Compare)

399 Farmington Ave
Suite LL2
Farmington, CT 06032-1936
Phone (860) 432-8400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Specialists of Connecticut, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lea.tripodi@glacecentral.com

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.

Hospital & facility affiliations 1

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": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1871230573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 SULLIVAN AVE",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 N MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421935",
            "telephone_number": "860-432-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 Sullivan Ave",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060742711",
            "country_code": "US",
            "telephone_number": "860-432-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "399 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060321936",
            "country_code": "US",
            "telephone_number": "860-432-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIPODI",
        "first_name": "LEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.