Individual provider Active NPI

John M Carravone, P.A.

  • Medical Physician Assistant
  • Trumbull, CT
National Provider Identifier
1962466326
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
786 Issued in CT
Practice address
888 White Plains Rd Ste 106
Trumbull, CT 06611-4552
Phone
(203) 268-2882
Fax
(203) 452-3099
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000786 CT
Physician Assistant 363A00000X 786 CT
Medical Physician Assistant 363AM0700X 786 CT Primary

Addresses

Primary practice location

888 White Plains Rd Ste 106
Trumbull, CT 06611-4552

Mailing address

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 626-0160

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
I20050509001052 CT Practitioner - Physician Assistant 6709826761 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
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
Connecticut Orthopaedic Specialists PCGroup PAC ID 7315850039, 184 clinicians

Practice addresses (Care Compare)

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

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 407-3500

2800 Main St
Bridgeport, CT 06606-4201

330 Bridgeport Ave
Shelton, CT 06484-3861
Phone (203) 538-0020

888 White Plains Rd
Trumbull, CT 06611-4552

Hospital & facility affiliations

  • St Vincent'S Medical Center Hospital, Bridgeport, CT, CCN 070028

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Merit-based Incentive Payment System (MIPS)

Final score
87.81 of 100Reported as group
Quality
79.31
Promoting interoperability
100
Improvement activities
40
Cost
80.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000786CTMDMarriage & Family Therapist
786CTMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Connecticut Orthopaedic Specialists, PC Physician Assistant CurrentSince Mar 1, 2018 Accepting new patients
Bridgeport Hospital CurrentSince Jun 10, 2002 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 1, 2020 Accepting new patients
Connecticut Orthopaedic Specialists, PC CurrentSince Mar 1, 2018 Accepting new patients
The Orthopaedic and Sports Medicine Center PastSince Aug 1, 2020 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC Physician Assistant Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

305 Boston Ave
Bridgeport, CT 06610
Phone (203) 384-3377

1055 Post Rd
Fairfield, CT 06824
Phone (203) 254-1055

1055 Post Rd
Ste 4
Fairfield, CT 06824
Phone (203) 254-1055

2408 Whitney Ave
Hamden, CT 06518
Phone (203) 407-3500

100 Beard Sawmill Rd
Shelton, CT 06484
Phone (203) 445-5500

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

888 White Plains Rd
Ste 105
Trumbull, CT 06611
Phone (203) 268-2882

888 White Plains Rd
Trumbull, CT 06611
Phone (203) 268-2882

888 White Plains Rd
Ste 106
Trumbull, CT 06611
Phone (203) 268-2882

888 White Plains Rd
Ste 209
Trumbull, CT 06611
Phone (203) 459-1133

1800 Post Rd E
Westport, CT 06880
Phone (203) 254-1354

Interoperability endpoints

  • Direct secure messaging: johnm.carravone@xdr.hhchealthdirect.org

Organizations & group practices 8

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 1

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1962466326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183209",
            "telephone_number": "203-626-0160",
            "fax_number": "203-294-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 WHITE PLAINS RD STE 106",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114552",
            "telephone_number": "203-268-2882",
            "fax_number": "203-452-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAVONE",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000786",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "786",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.