Individual provider Active NPI

Raffaella Pascarella, DPM

  • Foot Surgery Podiatrist
  • Bloomfield, CT
National Provider Identifier
1881075323
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1006 Issued in CT
Practice address
705 Bloomfield Ave
Bloomfield, CT 06002-2479
Phone
(860) 243-2951
Fax
(860) 243-5790
NPI assigned
Jun 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1006 CT Primary

Addresses

Primary practice location

705 Bloomfield Ave
Bloomfield, CT 06002-2479

Mailing address

705 Bloomfield Ave Ste 201
Bloomfield, CT 06002-2480
Phone (860) 243-2951

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180720002618 CT Practitioner - Podiatry 9335496389 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomfield Foot Specialists,LLCGroup PAC ID 5496645657, 3 clinicians
Connecticut Podiatry Partners, PLLCGroup PAC ID 6901228063, 6 clinicians

Practice addresses (Care Compare)

705 Bloomfield Ave
Suite 201
Bloomfield, CT 06002-2480
Phone (860) 243-2951

850 N Main St Ext
Suite 2A2
Wallingford, CT 06492-2483
Phone (203) 314-9493

Hospital & facility affiliations

  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions1-10
Removal of nail tissue156
Removal or shaving of skin growth32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1006CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Foot Care Centers LLC CurrentSince Jul 16, 2018 Accepting new patients
Bloomfield Foot Specialists,LLC Foot Surgery CurrentSince Jul 1, 2021 Accepting new patients
Connecticut Foot Care Centers LLC CurrentSince Jul 16, 2018 Accepting new patients
Bloomfield Foot Specialists,LLC PastSince Dec 12, 2021 Accepting new patients
Connecticut Foot Care Centers LLC Past Accepting new patients

Locations

705 Bloomfield Ave
Bloomfield, CT 06002
Phone (860) 243-8709

705 Bloomfield Ave
Ste 201
Bloomfield, CT 06002
Phone (860) 243-2951

505 Willard Ave
Ste D
Newington, CT 06111
Phone (860) 665-2078

506 Cromwell Ave
Ste 204
Rocky Hill, CT 06067
Phone (860) 563-1200

Organizations & group practices 6

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 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": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1881075323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BLOOMFIELD AVE STE 201",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022480",
            "telephone_number": "860-243-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022479",
            "telephone_number": "860-243-2951",
            "fax_number": "860-243-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCARELLA",
        "first_name": "RAFFAELLA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CT",
            "license": "1006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.