KEVIN CONNOLLY PA-C
NPI 1699260737
Physician Assistant - Surgical in Putnam, CT

NPI Status: Active since June 29, 2018

Contact Information

35 KENNEDY DR
PUTNAM, CT
ZIP 06260
Phone: (860) 963-3883
Fax: (860) 928-8299

NPI Profile Information
Primary Taxonomy
Secondary Locations
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Physician Assistant
Surgical
PECOS Enrolled

About KEVIN CONNOLLY

This page provides the complete NPI Profile along with additional information for Kevin Connolly, a provider established in Putnam, Connecticut with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1699260737 assigned on June 2018. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an individual and his NPI record was last updated April 2026.

NPI: 1699260737
Provider Name: KEVIN CONNOLLY PA-C
Gender: Male
Entity Type: Individual
Location Address: 35 KENNEDY DR PUTNAM, CT 06260
Location Phone: (860) 963-3883
Location Fax: (860) 928-8299
Mailing Address: 22 BERKSHIRE DR EAST HAMPTON, CT 06424
Mailing Phone: (860) 841-9495
Is Sole Proprietor?: No
Enumeration Date: 06-29-2018
Last Update Date: 04-06-2026
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Location Map

Secondary Locations

320 Pomfret St
Putnam, CT 06260
(860) 928-6541

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physician Assistant Surgical
Taxonomy Code: 363AS0400X
Type: Physician Assistants & Advanced Practice Nursing Providers

Medicare Participation & PECOS Enrollment Status

Kevin Connolly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699260737, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 18 → 1 + 8

Pos 4

Unchanged

Pos 5

Doubled → 4

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 4 + 6 + 0 + 7 + 6 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7

This NPI is valid

The calculated check digit is 7, which matches the last digit of 1699260737.