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

Active since June 29, 2018PECOS EnrolledAccepts Medicare Assignment
35 KENNEDY DR, PUTNAM, CT 06260(860) 963-3883(860) 928-8299 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2026, Sep 23, 2022, Jun 29, 2018 (3 updates tracked since 2018).

About Kevin Connolly Pa-c NPPES

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

KEVIN CONNOLLY PA-C (NPI 1699260737) is an individual surgical provider in Putnam, Connecticut and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Putnam, and is a graduate of George Washington University School Of Medicine (2018).

NPPES Registry Identity

NPI1699260737
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKEVIN CONNOLLYCredential: PA-C
Location Address35 KENNEDY DRPutnam, CT 06260-1939
Mailing Address22 Berkshire DrEast Hampton, CT 06424-1307 · (860) 841-9495
Phone(860) 963-3883
Fax(860) 928-8299
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2018
Enumeration DateJune 29, 2018
Last NPPES UpdateApril 6, 20263 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1699260737 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
35 KENNEDY DR, Putnam, CT 06260
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Secondary Practice Location 1

Location 1320 Pomfret StPutnam, CT 06260-1836 · Phone (860) 928-6541

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

Kevin Connolly 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 ID2062762867
PECOS Enrollment IDI20180828003760
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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT A GREEN D.O.
Neuromusculoskeletal Medicine, Sports Medicine
35 KENNEDY DR
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-2133
MRS. KERRI LYNN SAUER APRN-BC
Nurse Practitioner
35 KENNEDY DR
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-2133
NATHANAEL T. TRYTHALL PT
Physical Therapist
35 KENNEDY DR
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-2133
DAVID J LACHANCE APRN
Nurse Practitioner
35 KENNEDY DR
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-3883
MICHAEL OLM PA-C
Physician Assistant
35 KENNEDY DR
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-3883
ALYSON MARIE HERNIGLE PA-C, ATC
Physician Assistant (Surgical)
35 KENNEDY DR
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-3883
ORTHO NEW ENGLAND LLC
Durable Medical Equipment & Medical Supplies
35 KENNEDY DR
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-2133
DR. KEVIN J REAGAN M.D.
Neuromusculoskeletal Medicine, Sports Medicine
35 KENNEDY DR
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-2133

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 Kevin Connolly's NPI number?

The NPI number for Kevin Connolly is 1699260737. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Kevin Connolly located?

Kevin Connolly practices at 35 Kennedy Dr, Putnam, CT 06260. The listed phone number is (860) 963-3883.

What is Kevin Connolly's specialty?

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

Is Kevin Connolly enrolled in Medicare?

Yes. Kevin Connolly 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 Kevin Connolly was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.