ROBERT JOHN KUPIS PA-C NPI 1285676353

NPI Information

NPI: 1285676353
Provider Name: ROBERT JOHN KUPIS, PA-C
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 196 PARKWAY SOUTH
SUITE 103
WATERFORD, CT
ZIP 06385
Phone: (860) 443-4383

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NPI Details

Robert John Kupis, PA-C is a physician assistant in Waterford, CT. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Robert John Kupis, PA-C NPI is 1285676353. 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:

196 PARKWAY SOUTH
SUITE 103
WATERFORD, CT
ZIP 06385
Phone: (860) 443-4383
Fax: (860) 443-3980

The NPI 1285676353 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 enumeration date for this NPI number is 6/12/2006 and was last updated on 2/16/2024.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	893	CONNECTICUT	No
2	363AM0700X	Physician Assistant	Medical	000893	CONNECTICUT	No
3	363A00000X	Physician Assistant		58266	CALIFORNIA	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 Issuer
1	06-1616101	OTHER	COMMUNITY HEALTH NETWORK
2	P2626854	OTHER	OXFORD/ECCD: 06-1616101
3	P2650601	OTHER	OXFORD/ECCG: 06-1049086
4	06-1049086	OTHER	COMMUNITY HEALTH NETWORK
5	0V9727	OTHER	HEALTHNET/ECCD:06-1616101
6	290001019CT03	OTHER	ANTHEM/ECCD:06-1616101
7	500HBC444CT01	OTHER	ANTHEM/HOSP-BASED ECCD
8	004210407	OTHER	BLUECARE FAMILY PLAN
9	0V9726	OTHER	HEALTHNET/ECCG:06-1049086
10	060064824	OTHER	RR MED/ECCD: 06-1616101
11	290000893CT01	OTHER	ANTHEM/ECCG:06-1049086
12	641664	OTHER	CONNECTICARE
13	970011351	OTHER	RR MED/ECCG: 06-1049086

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: 11/21/2025

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