Individual provider Active NPI

Peter Saad

  • Medical Physician Assistant
  • New Haven, CT
National Provider Identifier
1962097550
Registry record updated Mar 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5166 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 688-2222
NPI assigned
Mar 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CT
Medical Physician Assistant 363AM0700X 5166 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

464 Congress Ave Ste 260
New Haven, CT 06519-1362

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
I20210512002056 CT Practitioner - Physician Assistant 9931518453 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

12 Case St
Suite 313
Norwich, CT 06360-2222
Phone (860) 204-9126

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5166CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care Inc CurrentSince Feb 1, 2023 Accepting new patients
Lawrence and Memorial Hospital, Inc. CurrentSince Jan 9, 2023 Accepting new patients
MHS Primary Care Inc Medical CurrentSince Feb 1, 2023 Accepting new patients
Middlesex Hospital CurrentSince Jan 1, 2024 Accepting new patients
Yale University CurrentSince Apr 30, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Lawrence and Memorial Hospital, Inc. Medical CurrentSince Jan 9, 2023 Accepting new patients
Middlesex Hospital CurrentSince Jan 1, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 1, 2024 Accepting new patients
Yale University CurrentSince Apr 30, 2021 Accepting new patients
WRK Ventures, LLC Past Accepting new patients

Locations

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

896 Washington St
Middletown, CT 06457
Phone (860) 788-3632

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

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

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

270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

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

Interoperability endpoints

  • Direct secure messaging: psaad80690@middlesexhealthprd.direct-ci.com

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1962097550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 CONGRESS AVE STE 260",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAD",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "5166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.