PRISM SPORTS MEDICINE, LLC – NPI #1851920029
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

PRISM SPORTS MEDICINE, LLC is an orthopaedic surgeon located in HARTFORD, CT. NPPES has assigned the NPI number 1851920029 to PRISM SPORTS MEDICINE, LLC on April 08, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was last updated on Nov 19, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRISM SPORTS MEDICINE, LLC below.

NPI Profile for
PRISM SPORTS MEDICINE, LLC

NPI Number
1851920029
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRISM SPORTS MEDICINE, LLC
Primary location
31 SEYMOUR ST STE 204
HARTFORD, CT 06106-5505
Phone: (860) 421-3233 Fax:
Mailing address
31 PINNACLE RIDGE RD
FARMINGTON, CT 06032-3041
Phone: (860) 421-3233 Fax:
Organization Subpart
No
Authorized Official
CARL NISSEN
OWNER
Phone: (860) 282-4128
Updated
Certification Date
Nov 19, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PRISM SPORTS MEDICINE, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCT00000000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207X00000X
- Orthopaedic Surgery (Primary)
207XX0005X
- Orthopaedic Surgery / Sports Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.