Joseph D'Agosto, M.D.
Individual provider Active NPI Specialist · Stamford, CT
NPI 1306972039 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306972039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 029835 (CT)
- Practice address
- 30 Shelburne Rd
Stamford, CT 06902-3628 - Phone
- (203) 276-7000
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Rutgers New Jersey Medical School, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stamford Anesthesiology Services PC
Practice addresses (Care Compare)
1 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 276-1000
32 Strawberry Hill CT
Stamford, CT 06902-2594
Phone (203) 276-2000
4 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 276-1000
Hospital & facility affiliations
- Stamford Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101109000785 | CT | Practitioner - Anesthesiology | 5294920807 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029835 | CT | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Point Anesthesia LLC | Current |
Accepting new patients | |
| Stamford Anesthesiology Services, PC | Current |
Accepting new patients | |
| Gotham Medical Services | Past | Accepting new patients |
Locations
1055 Washington Blvd
Ste 440
Stamford, CT 06901
Phone (203) 348-2614
4 Hospital Plz
Ste 414
Stamford, CT 06902
Phone (203) 504-7299
32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000
1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 029835 | CT | Yes |
Addresses
Primary practice location
30 Shelburne Rd
Stamford, CT 06902-3628
Mailing address
1055 Washington Blvd
Suite 440
Stamford, CT 06901-2216
Phone (203) 348-2614
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1298357 | Medicaid | CT |
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.