CONNOR PASSALACQUA
NPI 1598408262
Family Medicine in Boardman, OH

Q: What is Connor Passalacqua's NPI number?

The NPI number for Connor Passalacqua is 1598408262. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Q: What is Connor Passalacqua's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 19, 2022PECOS Enrolled

8423 MARKET ST STE 207, BOARDMAN, OH 44512(330) 729-8700 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, Jun 26, 2025, Apr 19, 2022 (3 updates tracked since 2022).

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About Connor Passalacqua NPPES

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

CONNOR PASSALACQUA (NPI 1598408262) is an individual family medicine provider in Boardman, Ohio, licensed in Indiana (01099775A) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital And Health Care Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1598408262

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCONNOR PASSALACQUA

Location Address8423 MARKET ST STE 207Boardman, OH 44512-6778

Mailing Address966 Bartley StJasper, IN 47546-2641 · (812) 996-7810 · Fax (812) 996-8465

Phone(330) 729-8700

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 19, 2022

Last NPPES UpdateJune 4, 20263 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1598408262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01099775A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8423 MARKET ST STE 207, Boardman, OH 44512

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Secondary Practice Locations 2

Location 1966 Bartley StJasper, IN 47546-2641 · Phone (812) 996-7810 · Fax (812) 996-8465

Location 2313 Federal Dr NW Ste 200Corydon, IN 47112-3079 · Phone (812) 738-4155

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor Passalacqua is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345629903

PECOS Enrollment IDI20260609003657

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150115

Location800 W 9th StJasper, IN 47546 · Dubois County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 8

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

DR. MICHAEL THEODORE CRATSLEY MD

Family Medicine (Sports Medicine)