Individual provider Active NPI

Peter Anthony Ingraldi, MD

  • Surgery Physician
  • Norwalk, CT
National Provider Identifier
1154492874
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
044779 Issued in CT
Practice address
148 East Ave Ste 3a
Norwalk, CT 06851-5726
Phone
(203) 899-0744
Fax
(203) 899-0761
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 193429 NY
Surgery Physician 208600000X 044779 CT Primary

Addresses

Primary practice location

148 East Ave Ste 3a
Norwalk, CT 06851-5726

Mailing address

148 East Ave Ste 3a
Norwalk, CT 06851-5726
Phone (203) 899-0744

Other identifiers 1

IdentifierTypeStateIssuer
01655018MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071105000195 CT Practitioner - General Surgery 2567559727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

148 E Ave
Norwalk, CT 06851-5721
Phone (203) 846-8885

Hospital & facility affiliations

  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044779CTMDSurgery Physician
193429NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. Surgery CurrentSince Apr 30, 2020 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

40 Cross St
Norwalk, CT 06851
Phone (203) 845-2020

761 Main Ave
Norwalk, CT 06851
Phone (203) 845-2160

30 Stevens St
Norwalk, CT 06850
Phone (203) 852-2262

148 East Ave
Ste 3A
Norwalk, CT 06851
Phone (203) 852-3050

148 East Ave
Norwalk, CT 06851
Phone (203) 838-4886

778 Long Ridge Rd
Stamford, CT 06902
Phone (203) 322-2400

Organizations & group practices 1

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 4

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1154492874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 EAST AVE STE 3A",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515726",
            "telephone_number": "203-899-0744",
            "fax_number": "203-899-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EAST AVE STE 3A",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515726",
            "telephone_number": "203-899-0744",
            "fax_number": "203-899-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRALDI",
        "first_name": "PETER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "193429",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "044779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01655018",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.