Individual provider Active NPI

Alan Robert Houle, PA-C

  • Physician Assistant
  • Waterbury, CT
National Provider Identifier
1891777918
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1211 W Main St
Waterbury, CT 06708-3106
Phone
(203) 755-0163
Fax
(203) 574-5894
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

1211 W Main St
Waterbury, CT 06708-3106

Mailing address

110 Braemar Dr
Cheshire, CT 06410-1614
Phone (203) 272-2282

Other identifiers 1

IdentifierTypeStateIssuer
000637OtherCTSTATE LICENSE

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
I20081029000275 CT Practitioner - Physician Assistant 3274691670 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waterbury Orthopaedic Associates P CGroup PAC ID 7012965395, 4 clinicians
Comprehensive Orthopedics and Musculoskeletal Care LLCGroup PAC ID 9830097864, 27 clinicians

Practice addresses (Care Compare)

1211 W Main St
Waterbury, CT 06708-3106
Phone (203) 755-0163

1211 W Main St
Waterbury, CT 06708-3178

455 Lewis Ave
Meriden, CT 06451-2121
Phone (203) 265-3280

863 N Main St Ext
Suite 200 FL 2
Wallingford, CT 06492-2434
Phone (203) 265-3280

Hospital & facility affiliations

  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016
  • Waterbury Hospital Hospital, Waterbury, CT, CCN 070005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000637CTMDAddiction (Substance Use Disorder) Counselor
637CTMDAcupuncturist
000037CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Orthopedics & Musculoskeletal Care LLC PastSince Aug 13, 2023 Accepting new patients
Waterbury Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ahoule@woa1842.srs-direct.com
  • Direct secure messaging: ahoule@direct.wtbyhosp.org

Organizations & group practices 5

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 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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1891777918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BRAEMAR DR",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101614",
            "telephone_number": "203-272-2282",
            "fax_number": "203-574-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083106",
            "telephone_number": "203-755-0163",
            "fax_number": "203-574-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOULE",
        "first_name": "ALAN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "000637",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.