CHRISTIAN KARL BONDOC TWANO – Physician Assistant, NPI 1346123585

CHRISTIAN KARL BONDOC TWANO is a healthcare provider. based in Newington, Connecticut. specializing in PHYSICIAN ASSISTANT. The NPI Number for CHRISTIAN KARL BONDOC TWANO is 1346123585

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
CHRISTIAN KARL BONDOC TWANO
NPI
1346123585
Phone
Not provided
Address
147 DEWEY AVE
Enumeration Date
28 July 2025
Last Update Date
28 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604707710
Graduation Year
2025 (1 year ago)
PAC ID
4789179177
Group Practice PAC ID
0840570628
Professional Enrollment ID
I20251223001968
Address ID
CT060851278UN45XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

3,243 PHYSICIAN ASSISTANT in CT

Provider Addresses for CHRISTIAN KARL BONDOC TWANO

  • 147 DEWEY AVE

    NEWINGTON, CT 061112062

    Phone:

    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)

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: 2025-12-23

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
I20251223001968IPhysician 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.

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

Insurance plans in this area (ZIP 06111)

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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: 0840570628View full group profile
NameSpecialtyState
Nurse PractitionerCT
Physician AssistantCT
Physician AssistantCT
Physician AssistantTX
Emergency MedicineCT
Physician AssistantME
Nurse PractitionerCT
Physician AssistantMA
Nurse PractitionerCT
Physician AssistantCT

Reviews

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Frequently asked questions

How is CHRISTIAN KARL BONDOC TWANO identified in CMS data?
CMS-hosted NPPES data lists CHRISTIAN KARL BONDOC TWANO with NPI 1346123585.
Is CHRISTIAN KARL BONDOC TWANO listed as active for patients and plans?
The listing shows CHRISTIAN KARL BONDOC TWANO as active in the NPI system.
What is CHRISTIAN KARL BONDOC TWANO's primary classification?
Physician Assistant is the headline specialty for CHRISTIAN KARL BONDOC TWANO here. Clinical services aligned with this taxonomy classification.
What area does CHRISTIAN KARL BONDOC TWANO serve?
CHRISTIAN KARL BONDOC TWANO's listing highlights Newington, Connecticut; more addresses can appear in NPPES.
Why does CHRISTIAN KARL BONDOC TWANO have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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