JON R PIRRELLO (M. D.) – Surgery Physician, NPI 1114961604

JON R PIRRELLO (M. D.) is a healthcare provider. based in Hartford, Connecticut. specializing in GENERAL SURGERY. They hold the professional credentials M. D.. They hold a License No. 2006-00634 (NC). The NPI Number for JON R PIRRELLO (M. D.) is 1114961604

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JON R PIRRELLO (M. D.)
NPI
1114961604
Phone
(860) 714-7128
Address
1000 ASYLUM AVE
Enumeration Date
15 June 2006
Last Update Date
14 November 2014

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
4062332600
Graduation Year
2000 (26 years ago)
PAC ID
9133123060
Group Practice PAC ID
8921045667
Professional Enrollment ID
I20231006003295
Address ID
MT593015094MI2600XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

525 GENERAL SURGERY in CT

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Provider Addresses for JON R PIRRELLO (M. D.)

  • 1000, Asylum Avenue, Asylum Avenue District Historic District, Hartford, Hartford County, Connecticut, 06105, United States

    SUITE #2102

    HARTFORD, CT 061051770

    Phone: (860) 714-7128

    Fax: (860) 714-8076

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Novo Nordisk Inc ($43).

Total Amount

$77

General + Research + Ownership

Payments

3

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231006003295IGeneral SurgeryMTTBD
I20240525000373IGeneral SurgeryCOTBD
I20240716002727IGeneral SurgeryNYTBD
I20240923001850IGeneral SurgeryWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06105)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921045667View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)WA
-WA
Nurse PractitionerMT
Radiation OncologyOH
Emergency MedicineMT
-NC
Family PracticeMT
Emergency Medicine, Family PracticeCO
-MT

Reviews

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Frequently asked questions

Can I cross-check JON R PIRRELLO (M. D.) using NPI 1114961604?
NPI 1114961604 belongs to JON R PIRRELLO (M. D.); compare other details if you need extra assurance.
Would JON R PIRRELLO (M. D.) appear as active to a payer?
You can treat JON R PIRRELLO (M. D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JON R PIRRELLO (M. D.)?
JON R PIRRELLO (M. D.)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
Is JON R PIRRELLO (M. D.) associated with Hartford?
Public fields place JON R PIRRELLO (M. D.) around Hartford, Connecticut. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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