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: August 16, 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
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

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.

Student in an Organized Health Care Education/Training Program
2800 MAIN ST
BRIDGEPORT, CT 06606
Nurse Anesthetist, Certified Registered
2800 MAIN ST
BRIDGEPORT, CT 06606
Family Medicine
2800 MAIN ST
BRIDGEPORT, CT 06606
Nurse Anesthetist, Certified Registered
2800 MAIN ST
BRIDGEPORT, CT 06606
Nurse Anesthetist, Certified Registered
2800 MAIN ST
BRIDGEPORT, CT 06606
Nurse Anesthetist, Certified Registered
2800 MAIN ST, ST VINCENTS MEDICAL CENTER
BRIDGEPORT, CT 06606
Physician Assistant (Medical)
2800 MAIN ST
BRIDGEPORT, CT 06606
Student in an Organized Health Care Education/Training Program
2800 MAIN ST
BRIDGEPORT, CT 06606

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 Thomas Dolan's NPI number?

The NPI number for Thomas Dolan is 1679328108. It was assigned to this individual provider in the NPPES registry on April 18, 2024.

Where is Thomas Dolan located?

Thomas Dolan practices at 2800 Main St, Bridgeport, CT 06606. The listed phone number is (203) 576-6000.

What is Thomas Dolan's specialty?

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

Is Thomas Dolan enrolled in Medicare?

Yes. Thomas Dolan 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 Thomas Dolan was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.