AKIVA BRONSTEIN (PA) – Physician Assistant, NPI 1164458204

AKIVA BRONSTEIN (PA) is a healthcare provider. based in Derby, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 001642 (CT). The NPI Number for AKIVA BRONSTEIN (PA) is 1164458204

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
AKIVA BRONSTEIN (PA)
NPI
1164458204
Phone
(203) 732-1330
Address
67 MAPLE AVE
Enumeration Date
23 June 2006
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
8606775570
Graduation Year
2002 (24 years ago)
PAC ID
7517947450
Group Practice PAC ID
0345130563
Professional Enrollment ID
I20061221000441
Address ID
CT060321953FA270XXAVEX300
Telehealth
Yes

Contacts

Secure Messaging
vumc@direct.vumc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

3,244 PHYSICIAN ASSISTANT in CT

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Provider Addresses for AKIVA BRONSTEIN (PA)

  • 67, Maple Avenue, Derby, New Haven County, Connecticut, 06418-1328, United States

    DERBY, CT 064181328

    Phone: (203) 732-1330

    Fax: (203) 732-1332

    Type: Mailing

  • Griffin Hospital, 130, Division Street, Derby, New Haven County, Connecticut, 06418-1326, United States

    DERBY, CT 064181326

    Phone: (203) 732-7325

    Type: Location

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone:

    Type: Mailing

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372321326

    Phone: (615) 322-3000

    Type: Location

  • 270 FARMINGTON AVE

    FARMINGTON, CT 060321909

    Phone: (860) 677-5577

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20061221000441IPhysician AssistantCTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes417148$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes27152$0
99215Established patient office or other outpatient visit, 40-54 minutes8875$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes7451$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes6464$0
View full utilization report →

Insurance plans in this area (ZIP 06418)

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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: 0345130563View full group profile
NameSpecialtyState
Nurse PractitionerCT
Clinical Social WorkerCT
-CT
Nurse PractitionerCT
Clinical Social WorkerCT
P S Y C H I A T R YCT
Nurse PractitionerCT
Nurse PractitionerCT
Clinical Social WorkerCT
Clinical PsychologistCT

Reviews

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Frequently asked questions

What unique ID ties claims to AKIVA BRONSTEIN (PA)?
NPI 1164458204 is assigned to AKIVA BRONSTEIN (PA) under the national enumeration system.
Is AKIVA BRONSTEIN (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is AKIVA BRONSTEIN (PA)?
The page reflects Physician Assistant for AKIVA BRONSTEIN (PA). Clinical services aligned with this taxonomy classification.
Where is AKIVA BRONSTEIN (PA)'s primary listing?
We display Derby, Connecticut because that is what the record indicates for AKIVA BRONSTEIN (PA).
What if Derby, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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