NPIMap

Individual provider Active NPI

Peter R Cimino, MD

  • Internal Medicine Physician
  • Fairfield, CT
National Provider Identifier
1063473312
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
037114 Issued in CT
Practice address
1300 Post Rd
Suite 202
Fairfield, CT 06824-6038
Phone
(203) 255-8827
Fax
(203) 259-4610
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 037114 CT Primary

Addresses

Primary practice location

1300 Post Rd
Suite 202
Fairfield, CT 06824-6038

Mailing address

1300 Post Rd
Suite 202
Fairfield, CT 06824-6038
Phone (203) 255-8827

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100216000118 CT Practitioner - Internal Medicine 4486798352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairfield Medical Group, LLCGroup PAC ID 5597654343, 5 clinicians
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians

Practice addresses (Care Compare)

1300 Post Rd
Suite 202
Fairfield, CT 06824-6038
Phone (203) 255-8827

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037114CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health, Inc. Internal Medicine CurrentSince Apr 2, 2020 Accepting new patients
Fairfield Medical Group, LLC Internal Medicine CurrentSince Aug 1, 1999 Accepting new patients
Northeast Medical Group, Inc. Internal Medicine PastSince Aug 1, 1999 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

1300 Post Rd
Ste 202
Fairfield, CT 06824
Phone (203) 255-8827

1055 Post Rd
Fairfield, CT 06824
Phone (203) 254-1055

Interoperability endpoints

  • Direct secure messaging: peterr.cimino@xdr.hhchealthdirect.org
  • Direct secure messaging: pcimino5706@direct.ynhh.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Vincent's Medical CenterBridgeport, CT, CCN 070028 Hospital Corporate Director Jun 1, 2023
St Vincent's Medical CenterBridgeport, CT, CCN 07T028 Hospital Corporate Director Jun 17, 2025
St Vincent's Medical CenterBridgeport, CT, CCN 07S028 Hospital Corporate Director Jun 1, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 6

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063473312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 POST RD",
            "address_2": "SUITE 202",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246038",
            "telephone_number": "203-255-8827",
            "fax_number": "203-259-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 POST RD",
            "address_2": "SUITE 202",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246038",
            "telephone_number": "203-255-8827",
            "fax_number": "203-259-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMINO",
        "first_name": "PETER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "037114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.