MICHAEL JOHN PORTAL PA-C
NPI 1265206056
Physician Assistant - Surgical in Manchester, CT

Q: What is Michael Portal's NPI number?

The NPI number for Michael Portal is 1265206056. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Q: What is Michael Portal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Michael Portal was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 13, 2023PECOS EnrolledAccepts Medicare Assignment

71 HAYNES ST, MANCHESTER, CT 06040(860) 646-1222 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, Jul 22, 2024, Nov 13, 2023 (3 updates tracked since 2023).

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About Michael John Portal Pa-c NPPES

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

MICHAEL JOHN PORTAL PA-C (NPI 1265206056) is an individual surgical provider in Manchester, Connecticut, licensed in Connecticut (6494) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1265206056

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMICHAEL JOHN PORTALCredential: PA-C

Location Address71 HAYNES STManchester, CT 06040-4188

Mailing Address71 Haynes StManchester, CT 06040-4188 · (860) 646-1222

Phone(860) 646-1222

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 13, 2023

Last NPPES UpdateMay 6, 20263 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1265206056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CT · 6494

Also ListedPhysician AssistantTaxonomy 363A00000X

71 HAYNES ST, Manchester, CT 06040

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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

Michael John Portal 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 ID143667287

PECOS Enrollment IDI20240325001686

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.

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.

DR. FRANKLIN GEORGE GILLIG M.D.

Emergency Medicine

71 HAYNES ST
MANCHESTER, CT 06040

Capitol Planning Region (860) 646-1222

MRS. CORY BERNARD LCSW

Social Worker (Clinical)

71 HAYNES ST, BEHAVIORAL HEALTH UNIT
MANCHESTER, CT 06040

Capitol Planning Region (860) 646-1222

DR. DINESH S. SHAH M.D.

Emergency Medicine

71 HAYNES ST
MANCHESTER, CT 06040

Capitol Planning Region (860) 646-1222

DANIELLE KIREI PA

Physician Assistant

71 HAYNES ST
MANCHESTER, CT 06040

Capitol Planning Region (860) 646-1222

RAJITHA REDDY

Student in an Organized Health Care Education/Training Program

71 HAYNES ST
MANCHESTER, CT 06040

Capitol Planning Region (860) 533-4679

DR. ALLANA R LEE D.O.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

71 HAYNES ST
MANCHESTER, CT 06040

Capitol Planning Region (860) 646-1222

ANDREA LYNCH PA-C

Physician Assistant (Surgical)

71 HAYNES ST
MANCHESTER, CT 06040

Capitol Planning Region (860) 533-6595

JAMSHID A MARVASTI, M.D. P.C.

Psychiatry & Neurology (Psychiatry)

71 HAYNES ST, MMH
MANCHESTER, CT 06040

Capitol Planning Region (860) 643-1166

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 Michael Portal's NPI number?

The NPI number for Michael Portal is 1265206056. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Where is Michael Portal located?

Michael Portal practices at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 646-1222.

What is Michael Portal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Michael Portal enrolled in Medicare?

Yes. Michael Portal 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 Michael Portal was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.