Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Isabel Bautista

Individual provider Surgical Physician Assistant · NPI 1205648235

Isabel Bautista is a Physician Assistant in New Haven, Connecticut. Qualified in 2024, 2 years ago. Practices with Yale University, a 2,618-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
2
Licensed in
CT
In the registry since
2025
Specialties on file
2

Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (203) 688-4242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6921 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1205648235
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2025
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025
Mailing address546 Chapel St Apt 1, New Haven, CT 06511-7403

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in New Haven