ALEXANDER D VENDETTO – Surgical Physician Assistant, NPI 1316609456

ALEXANDER D VENDETTO is a healthcare provider. based in Rocky hill, Connecticut. specializing in PHYSICIAN ASSISTANT. The NPI Number for ALEXANDER D VENDETTO is 1316609456

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER D VENDETTO
NPI
1316609456
Phone
(860) 525-4469
Address
1111 CROMWELL AVE STE 404
Enumeration Date
6 October 2021
Last Update Date
28 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8602893375
Graduation Year
2021 (5 years ago)
PAC ID
6800285248
Group Practice PAC ID
8729982525
Professional Enrollment ID
I20211105000948
Address ID
CT061065509HA85XXXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for ALEXANDER D VENDETTO

  • 1111 CROMWELL AVE STE 404

    ROCKY HILL, CT 060673455

    Phone: (860) 525-4469

    Type: Mailing

  • 1111 CROMWELL AVE STE 403

    ROCKY HILL, CT 060673454

    Phone: (860) 525-4469

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2023-03-13 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($99).

Total Amount

$99

General + Research + Ownership

Payments

1

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$99
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: 2021-11-05

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
I20211105000948IPhysician 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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg47249$0
99213Established patient office or other outpatient visit, 20-29 minutes176132$0
99203New patient office or other outpatient visit, 30-44 minutes7676$0
73562X-ray of knee, 3 views6557$0
20610Aspiration and/or injection of fluid from large joint4638$0
View full utilization report →

Insurance plans in this area (ZIP 06067)

Loading plans...

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: 8729982525View full group profile
NameSpecialtyState
Diagnostic RadiologyMA
Diagnostic RadiologyVT
Diagnostic Radiology, Interventional RadiologyNY
Diagnostic RadiologyNJ
Diagnostic Radiology, Interventional RadiologyCT
-CT
Diagnostic RadiologyMA
Diagnostic RadiologyMA
Diagnostic RadiologyPA
-CT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is ALEXANDER D VENDETTO listed with a National Provider Identifier?
Yes — ALEXANDER D VENDETTO has NPI 1316609456 on file in the registry.
Is ALEXANDER D VENDETTO still an active registrant?
ALEXANDER D VENDETTO carries an active NPI according to the public dataset.
How would a patient describe ALEXANDER D VENDETTO's focus?
For ALEXANDER D VENDETTO, the primary taxonomy reads as Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is ALEXANDER D VENDETTO associated with Rocky Hill?
Public fields place ALEXANDER D VENDETTO around Rocky Hill, Connecticut. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for ALEXANDER D VENDETTO is noted as October 6, 2021 where the registry provides it.

Similar Providers

PHYSICIANS FOR WOMEN'S HEALTH LLC

Obstetrics & Gynecology Physician
22, Waterville Road, Alsop Corner, Avon, Capitol Planning Region, Connecticut, 06001, United States
NPI: 1801826680

MR. CHRISTOPHER JAMES BERUBE (PA-C)

Surgical Physician Assistant
302, Cromwell Avenue, Rocky Hill, Hartford County, Connecticut, 06067, United States
NPI: 1477740736

ELYSSA L ROOT (PA)

Physician Assistant
507 E Main St
NPI: 1801040613

TIA JEAN WILLIAMS (PA-C, MMSC)

Surgical Physician Assistant
538 Litchfield St Ste G01
NPI: 1851631683

HANNAH MARLOW (PA-C)

Surgical Physician Assistant
769, New Britain Avenue, Rocky Hill, Hartford County, Connecticut, 06067, United States
NPI: 1811464985

MARENA JOSEPHINE HARRISON (PA)

Surgical Physician Assistant
101 LIMNER CIR
NPI: 1164044947

KORYN PALASKI LAMARI (PA-C)

Surgical Physician Assistant
100 GRAND ST
NPI: 1548939234

KATHERINE ELIZABETH SIKORSKI

Surgical Physician Assistant
5 KENSINGTON LN UNIT 301
NPI: 1104675982