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Active NPI 1316776222 Individual Practitioner Male Practitioner

Ivan M Rosas , PA-C

Physician Assistant • Bridgeport, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ivan Rosas, PA-C is a certified Physician Assistant practicing in Bridgeport, CT. With approximately 2 years of clinical experience since completing medical education in 2024, Ivan Rosas delivers high-quality medical care to the local community at 2979 MAIN ST.

Ivan Rosas is affiliated with Hartford Healthcare Medical Group Specialists Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2979 Main St

Bridgeport, CT 066064284

Telephone 2036835100
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bridgeport, CT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -6.2 yrs vs City Avg
City Avg: 8.2 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
138 Specialists

Practicing in Bridgeport, CT (2065 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rosas (2 Years) 2 Yrs
Bridgeport Specialty Average (8.2 Years) 8.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-01-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CT 6913

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

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.

Hospital & Practice Group Affiliations

Hartford Healthcare Medical Group Specialists Pllc

1244 Storrs Rd, Storrs, CT 062682200

Phone: 8607242579

Hartford Healthcare Medical Group Specialists Pllc

2979 Main St, Bridgeport, CT 066064284

Phone: 2033822345

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Edward Carreras , MD

Internal Medicine - Interventional Cardiology

NPI 1003100223

Doctor of Medicine (M.D.)

Amanda Ruszczycki

Physician Assistant

NPI 1194599969
Kelly Goode , APRN

Nurse Practitioner - Family

NPI 1467894170

Advanced Practice Registered Nurse

Natalie Stepniak , PA-C

Physician Assistant

NPI 1558229534

Physician Assistant (Certified)

Dr. Robert Tota , MD

Internal Medicine - Cardiovascular Disease

NPI 1558309799

Doctor of Medicine (M.D.)

Dr. Edward Kosinski , MD

Internal Medicine - Cardiovascular Disease

NPI 1598728594

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 29, 2025

Registered at 2979 MAIN ST, BRIDGEPORT, CT 066064284 (Tel: 2036835100)

📍
Updated Business Mailing Address January 29, 2025

Registered at 1290 SILAS DEANE HWY, WETHERSFIELD, CT 061094337 (Tel: 2039623402)

👤
Provider Name / Credentials Updated January 29, 2025

Recorded as IVAN ROSAS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2025

Physician Assistant (License #6913 in CT)

NPI Profile Active July 29, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2024

Registered at 1075 E BETTERAVIA RD STE 201, SANTA MARIA, CA 934547023 (Tel: 8056217714)

📍
Updated Business Mailing Address July 29, 2024

Registered at 97 BIANCA WAY, OLD FORGE, PA 185182136 (Tel: 2039623402)

👤
Provider Name / Credentials Updated July 29, 2024

Recorded as IVAN ROSAS, PA-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 29, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316776222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2024
Last Update: January 29, 2025
Sole Proprietor: No

Mailing Address

1290 Silas Deane Hwy

Wethersfield, CT 061094337

Phone: 2039623402

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.