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CARLY A GROSSMAN PA-C
NPI 1265203780
Physician Assistant - Medical in Hartford, CT

Active since January 12, 2024PECOS EnrolledAccepts Medicare Assignment
80 SEYMOUR ST, HARTFORD, CT 06102(860) 972-9495 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carly A Grossman Pa-c NPPES

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

CARLY A GROSSMAN PA-C (NPI 1265203780) is an individual medical provider in Hartford, Connecticut, licensed in Connecticut (006425) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1265203780
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCARLY A GROSSMANCredential: PA-C
Location Address80 SEYMOUR STHartford, CT 06102-8000
Mailing Address80 Seymour StHartford, CT 06102-8000 · (860) 972-9495
Phone(860) 972-9495
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 12, 2024
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1265203780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 006425
80 SEYMOUR ST, Hartford, CT 06102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carly A Grossman Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800232091
PECOS Enrollment IDI20240311001238
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services11 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUPARNA DUTTA M.D.
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2085
ANN T ZOGBAUM RD
Dietitian, Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2697
DR. NISHA DHANABALSAMY MBBS
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-0549
MATTHEW BAXTER PA
Physician Assistant (Surgical)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALISON COUTURE WYSE CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALICE DIFRANCESCO MD
Anesthesiology
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
MICHELLE MAY ROE APRN
Nurse Practitioner (Family)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2824
DR. VESAL YAGHOOBI MD
Student in an Organized Health Care Education/Training Program
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-6113

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 Carly Grossman's NPI number?

The NPI number for Carly Grossman is 1265203780. It was assigned to this individual provider in the NPPES registry on January 12, 2024.

Where is Carly Grossman located?

Carly Grossman practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 972-9495.

What is Carly Grossman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Carly Grossman enrolled in Medicare?

Yes. Carly Grossman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carly Grossman was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.