DAVID LAWRENCE MINGOLELLI PA
NPI 1619040391
Physician Assistant - Medical in Hartford, CT

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE, HARTFORD, CT 06102(860) 545-0000 Get Directions Write a Review

NPPES record last updated: December 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Lawrence Mingolelli Pa NPPES

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

DAVID LAWRENCE MINGOLELLI PA (NPI 1619040391) is an individual medical provider in Hartford, Connecticut, licensed in Connecticut (002987) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1619040391
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDAVID LAWRENCE MINGOLELLICredential: PA
Location Address80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINEHartford, CT 06102-5037
Mailing AddressPo Box 415933, Hartford Hospital Professional ServicesBoston, MA 02241-5933 · (860) 545-7602
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 17, 2006
Last NPPES UpdateDecember 20, 2013
NPI 1619040391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in CT · 002987 Licensed in MD · C0003439
Also ListedPhysician AssistantTaxonomy 363A00000X · License 002987 (CT)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 002987 (CT)
80 SEYMOUR STREET, Hartford, CT 06102

Other Identifiers 4

Medicare PINP985MD
Medicaid003029873CT
Medicare PIN142073Y1ZMD
Medicare PINP00691478MD

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

David Lawrence Mingolelli Pa 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 ID7214030410
PECOS Enrollment IDI20140129000840
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 3

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.

Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
23 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 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.

Physician Assistant (Surgical)
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102
Dietitian, Registered
80 SEYMOUR STREET, HARTFORD HOSPITAL FOOD & NUTRITION SERVICES
HARTFORD, CT 06102
Thoracic Surgery (Cardiothoracic Vascular Surgery)
80 SEYMOUR STREET, CARDIAC SURGERY
HARTFORD, CT 06102
Psychiatry & Neurology (Psychiatry)
80 SEYMOUR STREET, HARTFORD HOSPITAL
HARTFORD, CT 06102
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL MEDICINE DEPT
HARTFORD, CT 06102
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE
HARTFORD, CT 06102
Student in an Organized Health Care Education/Training Program
80 SEYMOUR STREET
HARTFORD, CT 06102
Physician Assistant
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102

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 David Mingolelli's NPI number?

The NPI number for David Mingolelli is 1619040391. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is David Mingolelli located?

David Mingolelli practices at 80 Seymour Street Hartford Hospital Emergency Medicine, Hartford, CT 06102. The listed phone number is (860) 545-0000.

What is David Mingolelli's specialty?

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

Is David Mingolelli enrolled in Medicare?

Yes. David Mingolelli 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 David Mingolelli was last updated on December 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.