Dominick S Giovanniello, DO
Individual provider Active NPI Blood Banking & Transfusion Medicine Physician · Burlington, CT
NPI 1043450281 · NPPES record last updated Jul 25, 2016
Key facts
- NPI
- 1043450281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Blood Banking & Transfusion Medicine Physician 207ZB0001X
- License
- 54309 (CT)
- Practice address
- 13 Stanwich LN
Burlington, CT 06013-2000 - Phone
- (917) 991-7668
- NPI assigned
- Feb 28, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore-Lij Medical PC
Practice addresses (Care Compare)
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3058
Hospital & facility affiliations
- NS/Lij HS Southside Hospital
- Peconic Bay Medical Center
- Long Island Jewish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200828002326 | NY | Practitioner - Pathology | 9436373925 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251653 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- dgiovanniello66147@northwell.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 251653 | NY | |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 54309 | CT | Yes |
Addresses
Primary practice location
13 Stanwich LN
Burlington, CT 06013-2000
Mailing address
13 Stanwich LN
Burlington, CT 06013-2000
Phone (917) 991-7668
Other providers in Burlington, CT
- Shirley Fontaine
- Kelly Fortin
- Christal Furphy
- Elizabeth Catherine Gale
- Samantha Gaul
- Mary Elizabeth Gollan
- Gradual Growth LLC
- Thomas E Grant
- Healing Dialogue LLC
- Lauren Johnson
All providers in Burlington, CT · Blood Banking & Transfusion Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.