DIMITRI GHECAS PA-C NPI 1174595490

NPI Information

NPI: 1174595490
Provider Name: DIMITRI GHECAS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
11 OLD PARK LANE
NEW MILFORD, CT
ZIP 06776
Phone: (860) 355-1149
Get Directions

Dimitri Ghecas, PA-C is a medical physician assistant in New Milford, CT with 27 years of experience. Dimitri Ghecas, PA-C NPI is 1174595490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11 OLD PARK LANE
NEW MILFORD, CT
ZIP 06776
Phone: (860) 355-1149
Fax: (860) 355-5957

The NPI 1174595490 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 2/2/2006 and was last updated on 1/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225100000X	Physical Therapist		004761	CONNECTICUT	No
2	363A00000X	Physician Assistant		000735	CONNECTICUT	No
3	363AM0700X	Physician Assistant	Medical	00735	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00735	OTHER	CONNECTICUT	CT LICENSE
2	P2737999	OTHER	CONNECTICUT	OXFORD
3	713282	OTHER	CONNECTICUT	CONNECTICARE
4	2V3651	OTHER	CONNECTICUT	ACS/HEALTHNET
5	P00006823	OTHER	CONNECTICUT	RAILROAD MEDICARE
6	290000735CT01	OTHER	CONNECTICUT	ANTHEM BC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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