Individual provider Active NPI

Kevin Andrew Belanger, PAC

  • Physician Assistant
  • Manchester, CT
National Provider Identifier
1932408002
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003073 Issued in CT
Practice address
277 Middle Tpke W
Manchester, CT 06040-3834
Phone
(860) 432-4640
NPI assigned
Mar 15, 2011
Last updated
Apr 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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 003073 CT Primary

Addresses

Primary practice location

277 Middle Tpke W
Manchester, CT 06040-3834

Mailing address

1000 Asylum Ave Ste 2108
Hartford, CT 06105-1715
Phone (860) 525-4469

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
I20140822001181 CT Practitioner - Physician Assistant 0446478028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

14 Jones Hollow Rd
Suite 2
Marlborough, CT 06447-1448
Phone (860) 358-2850

512 Saybrook Rd
Suite 100
Middletown, CT 06457-4788
Phone (860) 347-7636

52 Spencer Plain Rd
Old Saybrook, CT 06475-4000
Phone (860) 347-7636

540 Saybrook Rd
Middletown, CT 06457-4711
Phone (860) 358-5120

6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone (203) 869-1145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003073CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC Physician Assistant CurrentSince Sep 1, 2020 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Sep 1, 2020 Accepting new patients
MHS Primary Care, Inc Physician Assistant CurrentSince Feb 25, 2023 Accepting new patients

Locations

6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145

14 Jones Hollow Rd
Ste 5
Marlborough, CT 06447
Phone (860) 295-8751

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

512 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 704-6021

540 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (860) 347-6683

52 Washington Ave
Ste 3
North Haven, CT 06473
Phone (860) 399-0245

5 Pequot Park Rd
Ste 202
Westbrook, CT 06498
Phone (860) 399-0245

Interoperability endpoints

  • Direct secure messaging: kbelanger@ons.emadirect.md

Organizations & group practices 3

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": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1932408002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE STE 2108",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051715",
            "telephone_number": "860-525-4469",
            "fax_number": "860-278-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 MIDDLE TPKE W",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060403834",
            "telephone_number": "860-432-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELANGER",
        "first_name": "KEVIN",
        "middle_name": "ANDREW",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-15",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "003073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.