Jenny Lee Petrauskas, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

61440 Issued in CT

Practice address

101 Main St
Unionville, CT 06085-1131

Phone

(860) 673-6124

NPI assigned

Apr 3, 2015

Last updated

Dec 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15841/brand/1/csg/1/fhir/r4
• Direct secure messaging: jenny.petrauskas.1@15841.direct.athenahealth.com

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

• Unionville Pediatrics

  • Pediatrics Physician
  • Unionville, CT
  • NPI 1497748636
  NPD (past)

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1043605231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 PUNCH BROOK RD",
            "city": "BURLINGTON",
            "state": "CT",
            "postal_code": "060131814",
            "telephone_number": "860-803-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851131",
            "telephone_number": "860-673-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAUSKAS",
        "first_name": "JENNY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "61440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick V O'Connor, MD
• Oxyair Medical LLC
• Dawn Parsons
• Peter Square Inc (The Ryan Pharmacy)
• Holly Peterson, RPH
• Professional Exchange Network LLC
• Propicius Biosolutions LLC
• Caitlin Alexandra Raftis, LADC
• Nicole Reiser, LCSW
• Julia Ryan, MD, PHD

• Pediatrics Physician in Unionville, CT
• Providers in Unionville, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.