Peter Donald Zdankiewicz, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

038476 Issued in CT

Practice address

10 Main St S
Southbury, CT 06488-2260

Phone

(888) 338-8356

Fax

(888) 366-1189

NPI assigned

Mar 27, 2006

Last updated

May 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Surgery

Education

University of Maryland School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uconn Health Community Network Home Health, Inc. Home health agency, Watertown, CT, CCN 077085
• Waterbury Hospital Hospital, Waterbury, CT, CCN 070005

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Peter Zdankiewicz, M.D. LLC

  • Surgery Physician
  • Southbury, CT
  • NPI 1093961187
  Medicare reassignment NPD Authorized official

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

• Prospect Waterbury Home Health, Inc.

  dba VNA Health at Home

  • Home Health Agency
  • Watertown, CT
  • NPI 1265880413
  Care Compare affiliation
• Prospect Waterbury, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1477902641
  Care Compare affiliation

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1093775660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882260",
            "telephone_number": "888-338-8356",
            "fax_number": "888-366-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882260",
            "telephone_number": "888-338-8356",
            "fax_number": "888-366-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDANKIEWICZ",
        "first_name": "PETER",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "038476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001384768",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon L. Young, LMFT
• Mark K Youssef, M.D.
• Rose Yu -Chin, MD FRCP FACP
• Jennifer C. Zaharek, DPT
• John J. Zazzaro, D.M.D.
• Zephyr Psychiatry

• Surgery Physician in Southbury, CT
• Providers in Southbury, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.