Individual provider Active NPI

Dayna Marie Perkowski, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • New Haven, CT
National Provider Identifier
1144495094
Registry record updated Feb 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
76421 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 668-4242
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 2018-01723 NC
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 0101255753 VA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 76421 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

12225 Bridge Creek Way
Charlotte, NC 28277-1759
Phone (703) 200-9686

Other practice location 1

6331 Carmel Rd Ste 102
Charlotte, NC 28226
Phone (704) 384-1390

Other practice location 2

850 Southampton Ave
Norfolk, VA 23510-1021
Phone (757) 668-9920

Other practice location 3

850 Southampton Ave
Norfolk, VA 23510-1021
Phone (757) 668-9920

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dperkowski659045@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CO, OR, IL, WV5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20181026000169 NC Practitioner - Neurology 8628391315 Reassigns benefits to 2 organizations
I20210503001909 CO Practitioner - Neurology 8628391315 Reassigns benefits to 1 organization
I20220418001573 OR Practitioner - Neurology 8628391315 Reassigns benefits to 1 organization
I20220503000552 IL Practitioner - NeurologyPractitioner - Other (Physician) 8628391315 Reassigns benefits to 1 organization
I20241028000782 WV Practitioner - Neurology 8628391315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Virginia School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Blythe Blvd
Charlotte, NC 28203-5866
Phone (704) 381-1450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76421CTMDNeurology with Special Qualifications in Child Neurology Physician
2018-01723NCMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Sep 1, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 13, 2025 Accepting new patients
Yale University CurrentSince Feb 2, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Neurology With Special Qualifications in Child Neurology CurrentSince Jan 13, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Yale University CurrentSince Feb 2, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 1, 2024 Accepting new patients

Locations

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

1 Park St
North Haven, CT 06504
Phone (203) 785-4643

20 York St
North Haven, CT 06510
Phone (203) 688-2433

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: dperkowski62544@direct.chsomaha.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708819200000",
    "number": "1144495094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12225 BRIDGE CREEK WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771759",
            "telephone_number": "703-200-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-668-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6331 Carmel Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28226",
            "country_code": "US",
            "telephone_number": "704-384-1390",
            "fax_number": "704-384-1063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Southampton Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101021",
            "country_code": "US",
            "telephone_number": "757-668-9920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Southampton Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101021",
            "country_code": "US",
            "telephone_number": "757-668-9920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKOWSKI",
        "first_name": "DAYNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NC",
            "license": "2018-01723",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "VA",
            "license": "0101255753",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CT",
            "license": "76421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dperkowski659045@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "850 Southampton Ave",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235101021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.