CMS-1500 Box 24J / 33a • NPI
1619129582
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363AS0400X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical
Box 32 Service Location & ZIP+4
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT, 06102-5037
✓ 9-Digit EDI 837 ZIP+4 (06102-5037)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1619129582 (ALLISON YOST ADAJIAN, PA-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1619129582)
Medicare Beneficiaries
212
Total Billed Services
320
Distinct CPT/HCPCS Codes
8
Medicare Allowed Total
$25,836.47
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 171 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 70 |
G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 57 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin Amoxicillin | 19 | 14 |
| Atorvastatin Calcium Atorvastatin Calcium | 81 | 25 |
| Brilinta Ticagrelor | 11 | <11 |
| Cilostazol Cilostazol | 120 | 38 |
| Clopidogrel Clopidogrel Bisulfate | 262 | 87 |
| Eliquis Apixaban | 34 | <11 |
| Metoprolol Tartrate Metoprolol Tartrate | 12 | <11 |
| Minocycline Hcl Minocycline Hcl | 14 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1619129582 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ALLISON YOST ADAJIAN, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical NUCC Code: 363AS0400X (Physician Assistant, Surgical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT, 06102-5037 |
| Practice Telephone / Fax | Tel: (860) 972-4670 |
| Administrative Mailing Address | 201 N MOUNTAIN RD, PLAINVILLE, CT, 06062-1848 |
| Enumeration & Last Sync | Enumerated: 2008-10-22 | CMS Record Updated: 2019-05-21 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363AS0400X)
What Does Taxonomy Code 363AS0400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AS0400X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALLISON YOST ADAJIAN, PA-C)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: CT | License: 002155 | Primary: Secondary |
363AS0400X — Physician Assistant, SurgicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical | State: CT | License: 002155 | Primary: Yes (Primary) |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: CT | License: 002155 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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