Donna R Criscenzo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

022662 Issued in CT

Practice address

199 Goose Lane
Guilford, CT 06437-2115

Phone

(203) 458-2888

Fax

(203) 458-2889

NPI assigned

Jul 11, 2005

Last updated

May 13, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dcriscenzo2855@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Donna R. Criscenzo, M.D., LLC

  • Internal Medicine Physician
  • Guilford, CT
  • NPI 1639353907
  NPD (past) Authorized official
• Connecticut Medical Group, LLC

  • Primary Care Nurse Practitioner
  • Hamden, CT
  • NPI 1366504227

  Internal Medicine

  NPD (past)
• Shoreline Internal Medicine, LLC

  • Internal Medicine Physician
  • Guilford, CT
  • NPI 1306042510
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1225036528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 GOOSE LANE",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372115",
            "telephone_number": "203-458-2888",
            "fax_number": "203-458-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 GOOSE LANE",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372115",
            "telephone_number": "203-458-2888",
            "fax_number": "203-458-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISCENZO",
        "first_name": "DONNA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "022662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Costanzo, MSPT
• Christopher M Coulis, DC
• Creative Wellness Counseling, LLC
• Celeste Marie Cremin Endes, LCSW
• Kimberly Cricchi, APRN, FNP-C
• Kathleen Mary Croce, PH D
• Cross Therapy, LLC
• CT Speech and Swallow LLC
• Cheryl S Cummin, LCSW
• Anthony Joseph Curreri III, AGACNP

• Internal Medicine Physician in Guilford, CT
• Providers in Guilford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.