Mark N Fiengo, DO

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

000281 Issued in CT

Practice address

196 Parkway S
Suite 103
Waterford, CT 06385-1234

Phone

(860) 443-4383

Fax

(860) 443-3980

NPI assigned

Dec 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

90.42 of 100Reported as group

Quality

83.36

Promoting interoperability

100

Improvement activities

40

Cost

75.9

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.fiengo@xdr.hhchealthdirect.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.

• Windham Community Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Willimantic, CT
  • NPI 1023191467
  Medicare reassignment NPD
• Eastern Conn. Cardiology Group

  • Cardiovascular Disease Physician
  • Waterford, CT
  • NPI 1336192608
  NPD (past)
• Eastern CT Cardiology Diagnostics, LLC

  • Cardiovascular Disease Physician
  • Waterford, CT
  • NPI 1548211188
  NPD (past)
• Ocean Radiology Associates PC

  • Diagnostic Radiology Physician
  • New London, CT
  • NPI 1922166073
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1245214220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 OTROBANDO AVE",
            "address_2": "STE B",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602116",
            "telephone_number": "860-443-4383",
            "fax_number": "860-443-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 PARKWAY S",
            "address_2": "SUITE 103",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851234",
            "telephone_number": "860-443-4383",
            "fax_number": "860-443-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIENGO",
        "first_name": "MARK",
        "middle_name": "N",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CT",
            "license": "00281",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "000281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001002815",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Evans
• Ewcw LLC
• Elizabeth Fague
• Stephen F. Fedus III, O.D.
• Barry Stewart Feldman, MD
• Sandra M Fine, LCSW
• Ethan L Finn, DPT
• William D. Foreman, L.O.
• Bethany Forshaw, MS, ATC
• Rebecca Leigh Fox

• Cardiovascular Disease Physician in Waterford, CT
• Providers in Waterford, CT by specialty
• Cardiovascular Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.