Individual provider Active NPI

Daniel Villon Peneyra, MD, MHA

  • Hospitalist Physician
  • Carmel, NY
National Provider Identifier
1003378845
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
315675 Issued in NY
Practice address
670 Stoneleigh Ave
Carmel, NY 10512-3997
Phone
(845) 279-5711
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 76037 CT
Internal Medicine Physician 207R00000X 315675 NY
Hospitalist Physician 208M00000X 76037 CT
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X 315675 NY Primary

Addresses

Primary practice location

670 Stoneleigh Ave
Carmel, NY 10512-3997

Mailing address

670 Stoneleigh Ave
Carmel, NY 10512-3997
Phone (845) 279-5711

Other practice location 1

34 Maple St
Norwalk, CT 06850-3815
Phone (203) 852-2000

Other practice location 2

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220808001259 NY Practitioner - Hospitalist 5496137440 Reassigns benefits to 1 organization
I20240118000930 CT Practitioner - Internal Medicine 5496137440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of Ny Upstate Medical University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

24 Stevens St
Norwalk, CT 06850-3852
Phone (203) 852-2000

670 Stoneleigh Ave
Carmel, NY 10512-3997
Phone (845) 278-5683

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
315675NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Quest Medical Practice, PC CurrentSince Aug 26, 2022 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Nuvance Health Medical Practice PC Internal Medicine CurrentSince Aug 26, 2022 Accepting new patients
Putnam Hospital Center Past Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1003378845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 STONELEIGH AVE",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123997",
            "telephone_number": "845-279-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 STONELEIGH AVE",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123997",
            "telephone_number": "845-279-5711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Maple St",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068503815",
            "country_code": "US",
            "telephone_number": "203-852-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENEYRA",
        "first_name": "DANIEL",
        "middle_name": "VILLON",
        "name_prefix": "Dr.",
        "credential": "MD, MHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "76037",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "315675",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "76037",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "315675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.