CONNECTICUT ADVANCED SPINE LLC
NPI 1912602475
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Bristol, CT

Active since April 04, 2023
169 MIDDLE ST, BRISTOL, CT 06010(475) 337-7463(833) 449-3338 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Connecticut Advanced Spine Llc NPPES

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

CONNECTICUT ADVANCED SPINE LLC (NPI 1912602475) is a healthcare organization registered as an orthopaedic surgery of the spine in Bristol, Connecticut and active in the NPI registry since April 2023. The organization lists Ashish Upadhyay, Owner, as its authorized official.

NPPES Registry Identity

NPI1912602475
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameCONNECTICUT ADVANCED SPINE LLC
Location Address169 MIDDLE STBristol, CT 06010-7404
Mailing Address8 Banbury CresUnionville, CT 06085-1187
Fax(833) 449-3338
Organization SubpartNo
Authorized OfficialAshish UpadhyayOwner · (573) 639-2862
Enumeration DateApril 4, 2023
Last NPPES UpdateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1912602475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
169 MIDDLE ST, Bristol, CT 06010

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connecticut Advanced Spine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Connecticut Advanced Spine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Orthopedic Surgery
NPI 1689873457
1389 W MAIN ST STE 123
Waterbury, CT 06708
(475) 337-7463
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Connecticut Advanced Spine LLC's NPI number?

The NPI number for Connecticut Advanced Spine LLC is 1912602475. It was assigned to this organization in the NPPES registry on April 4, 2023.

Where is Connecticut Advanced Spine LLC located?

Connecticut Advanced Spine LLC is located at 169 Middle St, Bristol, CT 06010. The listed phone number is (475) 337-7463.

What is Connecticut Advanced Spine LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Connecticut Advanced Spine LLC enrolled in Medicare?

Yes. Connecticut Advanced Spine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connecticut Advanced Spine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Connecticut Advanced Spine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Connecticut Advanced Spine LLC was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.