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

Mr. Robert Ballough, PA

Individual provider Medical Physician Assistant · NPI 1851551972

Mr. Robert Ballough, PA is a Physician Assistant in East Hartford, Connecticut. Qualified in 2007, 19 years ago. Practices with Hartford Healthcare Urgent Care Centers LLC, a 203-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
19
Licensed in
CT
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone: (860) 528-1359
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 002079 (CT)

Record details

NPI number1851551972
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 12, 2008
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Hartford Healthcare Urgent Care Centers Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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