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JACOB MONINGHOFF
NPI 1669012449
Physician Assistant - Surgical in Hartford, CT

Active since January 09, 2020PECOS Enrolled
86.41/100
CMS Quality Rating
80 SEYMOUR ST, HARTFORD, CT 06106(610) 984-4125 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2021, Mar 4, 2021, Jan 9, 2020 (3 updates tracked since 2020).

About Jacob Moninghoff NPPES

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

JACOB MONINGHOFF (NPI 1669012449) is an individual surgical provider in Hartford, Connecticut and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669012449
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJACOB MONINGHOFF
Location Address80 SEYMOUR STHartford, CT 06106-3315
Mailing Address80 Seymour StHartford, CT 06106-3315 · (610) 984-4125
Phone(610) 984-4125
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 9, 2020
Last NPPES UpdateApril 19, 20213 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
✔ NPI 1669012449 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
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
80 SEYMOUR ST, Hartford, CT 06106
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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 (PECOS)

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

PECOS PAC ID8628487865
PECOS Enrollment IDI20250826000483
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.
12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

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.

JESSICA MCEWAN CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000
CARLY DANIELLE RADCLIFFE
Physician Assistant (Medical)
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000
ELAINE LACANILAO CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000
MICHAEL BRIAN BANIK APRN
Nurse Practitioner (Critical Care Medicine)
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000
EMILY TRUEBIG
Physician Assistant
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (203) 785-2353
AASYA KOLIA PA-C
Physician Assistant (Medical)
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 972-5022
YASSER A AL-BAGHDADI M.D.
Anesthesiology
80 SEYMOUR ST, ANESTHESIA DEPT
HARTFORD, CT 06106
Capitol Planning Region (860) 545-2117
JILLIAN DZIEDZIC CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000

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 Jacob Moninghoff's NPI number?

The NPI number for Jacob Moninghoff is 1669012449. It was assigned to this individual provider in the NPPES registry on January 9, 2020.

Where is Jacob Moninghoff located?

Jacob Moninghoff practices at 80 Seymour St, Hartford, CT 06106. The listed phone number is (610) 984-4125.

What is Jacob Moninghoff's specialty?

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

Is Jacob Moninghoff enrolled in Medicare?

Yes. Jacob Moninghoff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Moninghoff was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.