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

Robert Louis Ventulett, PA

Individual provider Physician Assistant · NPI 1518248954

Robert Louis Ventulett, PA is a Physician Assistant in New London, Connecticut. Qualified in 2011, 15 years ago. Practices with Baystate Medical Practices Inc, a 1,346-clinician group and accepts Medicare assignment. Licensed in Connecticut and South Carolina.

Years since qualifying
15
Licensed in
CT, SC
In the registry since
2011
Specialties on file
2
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

365 Montauk Ave
New London, CT 06320-4700
Phone: (860) 271-4364
Fax: (860) 444-5114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2933 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 1680 (SC)

Record details

NPI number1518248954
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 30, 2011
Last updated in NPPESJuly 10, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Baystate Medical Practices Inc — 1346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in New London