Marisa Kim Dematteo-Santa, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000875 Issued in CT

Practice address

488 Main Ave
Norwalk, CT 06851-1008

Phone

(203) 838-0442

Fax

(203) 838-9431

NPI assigned

Jan 8, 2008

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Milford Podiatry Associates PCGroup PAC ID 8123118056, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

Merit-based Incentive Payment System (MIPS)

Final score

89.89 of 100Reported as individual

Quality

72.6

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdematteosanta502022@direct.ynhh.org

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.

• Milford Podiatry Associates, P.C.

  • Podiatrist
  • Milford, CT
  • NPI 1437347754

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Milford Podiatry Associates PC

  • Ambulatory Surgical Clinic/Center
  • Milford, CT
  • NPI 1184788861
  NPD

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

• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1649260845
  Care Compare affiliation
• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1992910152
  Care Compare affiliation

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1184809253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511008",
            "telephone_number": "203-838-0442",
            "fax_number": "203-838-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511008",
            "telephone_number": "203-838-0442",
            "fax_number": "203-838-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMATTEO-SANTA",
        "first_name": "MARISA",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "000875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Anne, Margaret Delaugere
• David B Deleo, DMD
• Katherine E Dell Goldberger, DPT
• Deanna M Delprete, DO
• Jenna Delucia, APRN
• Marvin Den, M.D.
• Dennis Pipher DMD PLLC
• Jacob V Deno
• Dental One LLC
• Dental Sleep Medicine Center for Snoring and Sleep Apnea LLC

• Foot & Ankle Surgery Podiatrist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Foot & Ankle Surgery Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.