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ALLERGY ASSOCIATES OF HARTFORD, PC
NPI 1003937988
Allergy & Immunology - Allergy in Glastonbury, CT

Active since April 02, 2007
622 HEBRON AVE STE 104B, GLASTONBURY, CT 06033(860) 659-8904(860) 246-5828 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2024, Oct 15, 2020 (2 updates tracked since 2020).

About Allergy Associates Of Hartford, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLERGY ASSOCIATES OF HARTFORD, PC (NPI 1003937988) is a healthcare organization registered as an allergy in Glastonbury, Connecticut and active in the NPI registry since April 2007. The organization lists Prasad Srinivasan, President, as its authorized official.

NPPES Registry Identity

NPI1003937988
Entity TypeOrganization
Primary Taxonomy207KA0200X
Legal Business NameALLERGY ASSOCIATES OF HARTFORD, PC
Location Address622 HEBRON AVE STE 104BGlastonbury, CT 06033-5003
Mailing Address622 Hebron Ave Ste 104bGlastonbury, CT 06033-5003 · (860) 659-8904 · Fax (860) 246-5828
Phone(860) 659-8904
Fax(860) 246-5828
Organization SubpartNo
Authorized OfficialPrasad SrinivasanPresident · (860) 246-7273
Enumeration DateApril 2, 2007
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1003937988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License✔ Licensed in CT · 022206
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 000644 (CT)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 003860 (CT)
622 HEBRON AVE STE 104B, Glastonbury, CT 06033
Open in Google Maps ↗

Other Identifiers 1

Medicaid004000410CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allergy Associates Of Hartford, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Allergy Associates Of Hartford, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Benoit Tano, MD, PHD
Allergy/Immunology
NPI 1457419616
622 HEBRON AVE
Glastonbury, CT 06033
(860) 659-8904
✔ PECOS✔ Accepts MedicareSame address
Deborah Hackett, APRN
Nurse Practitioner
NPI 1699434274
622 HEBRON AVE STE 4B
Glastonbury, CT 06033
(860) 659-8904
✔ PECOS✔ Accepts Medicare0.1 mi
Ana Kristia Bermudez, NP
Nurse Practitioner
NPI 1881873750
131 NEW LONDON TPKE STE 101
Glastonbury, CT 06033
(860) 659-8904
✔ PECOS✔ Accepts Medicare0.8 mi
Kelly Heilman, APRN
Nurse Practitioner
NPI 1316497662
131 NEW LONDON TPKE STE 101
Glastonbury, CT 06033
(860) 659-8904
✔ PECOS✔ Accepts Medicare0.8 mi
Mahvesh Ansari
Nurse Practitioner
NPI 1508750399
145 UNION ST
Vernon, CT 06066
(860) 375-8440
✔ PECOS✔ Accepts Medicare13 mi
Christopher Randolph, M.D.
Allergy/Immunology
NPI 1437142551
171 GRANDVIEW AVE STE 201
Waterbury, CT 06708
(203) 578-4630
✔ PECOS✔ Accepts Medicare27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2196869

Allergy Associates Of Hartford, PC · Glastonbury, CT
Expired · Oct 19, 2026
CLIA Number07D2196869
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorBenoit Tano
Laboratory Phone(860) 659-8904
Laboratory LocationAllergy Associates Of Hartford, PC622 Hebron Ave, Suite 104B, Glastonbury, CT 06033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allergy Associates Of Hartford, PC's NPI number?

The NPI number for Allergy Associates Of Hartford, PC is 1003937988. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Allergy Associates Of Hartford, PC located?

Allergy Associates Of Hartford, PC is located at 622 Hebron Ave Ste 104B, Glastonbury, CT 06033. The listed phone number is (860) 659-8904.

What is Allergy Associates Of Hartford, PC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Allergy Associates Of Hartford, PC enrolled in Medicare?

Yes. Allergy Associates Of Hartford, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allergy Associates Of Hartford, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Allergy Associates Of Hartford, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Allergy/Immunology (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Allergy Associates Of Hartford, PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Allergy Associates Of Hartford, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allergy Associates Of Hartford, PC was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.