Prism Sports Medicine, LLC
NPI 1851920029ActiveOrganization· Orthopaedic Surgery· Hartford, CT
Orthopaedic Surgery in Hartford, Connecticut, registered in NPPES in April 2020. The authorized official on file is Carl Nissen, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1851920029 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 8, 2020 |
| Last updated in NPPES | Nov 19, 2025 |
| Certified by provider | Nov 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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