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THOMAS DOLAN PA-C
NPI 1679328108
Physician Assistant - Surgical in Bridgeport, CT

Active since April 18, 2024PECOS EnrolledAccepts Medicare Assignment
2800 MAIN ST, BRIDGEPORT, CT 06606(203) 576-6000 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 28, 2025, Jun 26, 2024, Apr 18, 2024 (3 updates tracked since 2024).

About Thomas Dolan Pa-c NPPES

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

THOMAS DOLAN PA-C (NPI 1679328108) is an individual surgical provider in Bridgeport, Connecticut, licensed in Connecticut (6994) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1679328108
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameTHOMAS DOLANCredential: PA-C
Location Address2800 MAIN STBridgeport, CT 06606-4201
Mailing Address1290 Silas Deane HwyWethersfield, CT 06109-4337 · (475) 210-3690
Phone(203) 576-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 18, 2024
Last NPPES UpdateFebruary 28, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
✔ NPI 1679328108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 6994
2800 MAIN ST, Bridgeport, CT 06606
Open in Google Maps ↗

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

Thomas Dolan 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 ID4981126935
PECOS Enrollment IDI20250319001137
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.

SHASHI CHADDHA MD
Radiology (Diagnostic Radiology)
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-5067
GUY TORSTENSON MD
Radiology (Diagnostic Radiology)
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-5067
WOLF VOGEL MD
Anesthesiology
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 929-7353
CHARLES THOMPSON MD
Anesthesiology
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 929-7353
LANSHENG WANG MD
Anesthesiology
2800 MAIN ST, ST VINCENTS MEDICAL CENTER
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 929-7353
ROBERT SURIANI MD
Anesthesiology
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 929-7353
AS HASAN SARWAR MD
Anesthesiology
2800 MAIN ST, ST VINCENTS MEDICAL CENTER
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 929-7353
JONATHAN KATZ MD
Anesthesiology
2800 MAIN ST, ST VINCENTS MEDICAL CENTER
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 929-7353

Frequently Asked Questions

What is Thomas Dolan's NPI number?

The NPI number assigned to this healthcare provider is 1679328108, enumerated as an "individual" on April 18, 2024.

Where is the provider located?

The provider is located at 2800 MAIN ST BRIDGEPORT, CT 06606 and the phone number is (203) 576-6000.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.