Individual provider Active NPI

Michael R Macchiarolo, CRNA

  • Certified Registered Nurse Anesthetist
  • Waterbury, CT
National Provider Identifier
1881023273
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
005586 Issued in CT
Practice address
64 Robbins St
Waterbury, CT 06708-2613
Phone
(203) 573-6564
NPI assigned
Nov 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 005586 CT Primary

Addresses

Primary practice location

64 Robbins St
Waterbury, CT 06708-2613

Mailing address

6985 Miller Dr
Warren, MI 48092-4725
Phone (586) 264-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, VA, NC, VT4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140228000034 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769612316 Reassigns benefits to 1 organization
I20170620000345 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769612316 Reassigns benefits to 3 organizations
I20211026000868 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769612316 Reassigns benefits to 1 organization
I20260318002600 VT Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769612316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians
Copley Hospital IncGroup PAC ID 9234125766, 61 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

528 Washington Hwy
Morrisville, VT 05661-8973
Phone (802) 888-8888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
005586CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2018 Accepting new patients
Copley Hospital, Inc. CurrentSince Feb 23, 2026 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Apr 1, 2021 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 20, 2021 Accepting new patients
Yale University CurrentSince Feb 10, 2025 Accepting new patients
Yale University Current Accepting new patients
Yale University CurrentSince Feb 10, 2025 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Sep 20, 2021 Accepting new patients
Copley Hospital, Inc CurrentSince Feb 23, 2026 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince May 12, 2017 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Apr 1, 2021 Accepting new patients
Copley Hospital, Inc. CurrentSince Feb 23, 2026 Accepting new patients

Locations

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231

Interoperability endpoints

  • Direct secure messaging: mmacchiarolo107313@direct.ynhh.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1881023273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6985 MILLER DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924725",
            "telephone_number": "586-264-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ROBBINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082613",
            "telephone_number": "203-573-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCHIAROLO",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "005586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.