Individual provider Active NPI

Donna Phanumas, M.D.

  • Internal Medicine Physician
  • Greenwich, CT
National Provider Identifier
1255352167
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
038375 Issued in CT
Practice address
5 Perryridge Rd
Center for Healthy Aging
Greenwich, CT 06830-4608
Phone
(203) 863-4376
Fax
(203) 863-4711
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 038375 CT Primary

Addresses

Primary practice location

5 Perryridge Rd
Center for Healthy Aging
Greenwich, CT 06830-4608

Mailing address

5 Perryridge Rd
Center for Healthy Aging
Greenwich, CT 06830-4608
Phone (203) 863-4376

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
I20101011000293 CT Practitioner - Geriatric MedicinePractitioner - Internal Medicine 7911199872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.52 of 100Reported as group
Quality
86.81
Promoting interoperability
100
Improvement activities
40
Cost
77.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Centers Inc CurrentSince Feb 15, 2025 Accepting new patients
Family Centers Inc Current Accepting new patients
Greenwich Hospital CurrentSince Jan 20, 2000 Accepting new patients
Family Centers Inc. CurrentSince Feb 15, 2025 Accepting new patients
Greenwich Hospital CurrentSince Jan 20, 2000 Accepting new patients

Locations

20 Bridge St
Greenwich, CT 06830
Phone (203) 629-2822

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

75 Holly Hill Ln
Ste 102
Greenwich, CT 06830
Phone (203) 717-1760

75 Holly Hill Ln
Greenwich, CT 06830
Phone (203) 661-3333

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

Interoperability endpoints

  • Direct secure messaging: dphanumas7150@direct.ynhh.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255352167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PERRYRIDGE RD",
            "address_2": "CENTER FOR HEALTHY AGING",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304608",
            "telephone_number": "203-863-4376",
            "fax_number": "203-863-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PERRYRIDGE RD",
            "address_2": "CENTER FOR HEALTHY AGING",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304608",
            "telephone_number": "203-863-4376",
            "fax_number": "203-863-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHANUMAS",
        "first_name": "DONNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "038375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.