Marissa Defreese, MD

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

047916 Issued in CT

Practice address

29 Hospital Plaza
6TH Floor
Stamford, CT 06902-2419

Phone

(203) 276-5959

Fax

(203) 276-5969

NPI assigned

Jan 26, 2009

Last updated

Feb 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Marissa Delgado Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northridge Trauma Surgeons Inc a Medical CorporationGroup PAC ID 2567828825, 13 clinicians

Compassionate Critical Care Group, Inc.Group PAC ID 2668884842, 14 clinicians

Acute Care Surgery Medical Group IncGroup PAC ID 7214006816, 205 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
• Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
• Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243
• Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

Merit-based Incentive Payment System (MIPS)

Final score

87.97 of 100Reported as group

Quality

47.69

Promoting interoperability

100

Improvement activities

40

Cost

82.27

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.

• Acute Care Surgery Medical Group, Inc.

  • Surgery Physician
  • Sacramento, CA
  • NPI 1700069549
  Medicare reassignment Care Compare group NPD
• Compassionate Critical Care Group, Inc.

  • Pulmonary Disease Physician
  • Woodland Hills, CA
  • NPI 1295332633
  Medicare reassignment Care Compare group NPD
• Northridge Trauma Surgeons Inc a Medical Corporation

  • Surgery Physician
  • Northridge, CA
  • NPI 1255418745
  Medicare reassignment Care Compare group NPD
• Jaspreet Somal M.D., a.P.C.

  • Critical Care Medicine (Anesthesiology) Physician
  • Simi Valley, CA
  • NPI 1154917318
  Medicare reassignment NPD
• Kern County Hospital Authority

  dba Kern Medical Center

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1376623538
  Medicare reassignment NPD
• Oaks Surgical Specialists, a Medical Corporation

  • Surgery Physician
  • Northridge, CA
  • NPI 1538560842
  Medicare reassignment NPD
• Surgical Affiliates of California

  • Surgery Physician
  • Los Banos, CA
  • NPI 1932440781
  Medicare reassignment NPD
• Wound MD PC

  • General Practice Physician
  • Petaluma, CA
  • NPI 1942606744
  Medicare reassignment NPD
• Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1922578822
  NPD
• Life Medical Practitioners

  • Hospitalist Physician
  • San Diego, CA
  • NPI 1821799164
  NPD

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

• Desert Regional Medical Center, Inc.

  dba Desert Regional Medical Center

  • General Acute Care Hospital
  • Palm Springs, CA
  • NPI 1104856095
  Care Compare affiliation
• Dignity Community Care

  dba Northridge Hospital Medical Center

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  Care Compare affiliation
• Los Robles Regional Medical Center

  dba Los Robles Hospital & Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1306890389
  Care Compare affiliation
• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  Care Compare affiliation

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1194963462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HOSPITAL PLAZA",
            "address_2": "6TH FLOOR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022419",
            "telephone_number": "203-276-5959",
            "fax_number": "203-276-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HOSPITAL PLAZA",
            "address_2": "6TH FLOOR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022419",
            "telephone_number": "203-276-5959",
            "fax_number": "203-276-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFREESE",
        "first_name": "MARISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "047916",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CT",
            "license": "047916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "DELGADO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John P Decarlo, O.D.
• Lindsay Gayle Decima
• Elizabeth Deda
• Joseph Defilippo Jr., DDS
• Ravin Defonseka, MD
• Mary Kate Degabriel
• Jessica Degiacomo, DNP/FNP
• Cynthia Degracia
• Jack D Degrado, DDS
• Ann Deiters

• Surgical Critical Care Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Surgical Critical Care Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.