Fausto Petruzziello, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036943 Issued in CT

Practice address

52 Washington Ave
Suite 4
North Haven, CT 06473-1724

Phone

(203) 672-2800

Fax

(203) 672-2801

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in CT, FL2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Caremedica Florida LLCGroup PAC ID 2365826849, 6 clinicians

Family Practice and Internal Medicine, LLCGroup PAC ID 5991894123, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yale New Haven Health - Health at Home Home health agency, Milford, CT, CCN 077143
• Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
• Midstate Medical Center Hospital, Meriden, CT, CCN 070017

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fausto.petruzziello@caremedica.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BHJJBA
• Direct secure messaging: fpetruzziello4255@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 and National Provider Directory roles.

• Family Practice & Internal Medicine, LLC

  • Internal Medicine Physician
  • North Haven, CT
  • NPI 1902095003
  Medicare reassignment Care Compare group NPD Authorized official
• Caremedica Florida LLC

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
  • NPI 1063149193
  Medicare reassignment Care Compare group NPD Authorized official
• Family Practice & Internal Medicine of Spring Gren LLC

  • Internal Medicine Physician
  • Hamdeh, CT
  • NPI 1255371571
  NPD (past)

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

• Midstate Medical Center

  • General Acute Care Hospital
  • Meriden, CT
  • NPI 1427007848
  Care Compare affiliation
• Midstate Medical Center

  • General Acute Care Hospital
  • Meriden, CT
  • NPI 1669524187
  Care Compare affiliation
• Yale New Haven Health at Home, Inc.

  • Home Health Agency
  • New Haven, CT
  • NPI 1043217482
  Care Compare affiliation
• Yale New Haven Health at Home, Inc.

  • Home Health Agency
  • Milford, CT
  • NPI 1407932056
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1578778726
  Care Compare affiliation

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1316933419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WASHINGTON AVE",
            "address_2": "SUITE 4",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731724",
            "telephone_number": "203-672-2800",
            "fax_number": "203-672-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WASHINGTON AVE",
            "address_2": "SUITE 4",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731724",
            "telephone_number": "203-672-2800",
            "fax_number": "203-672-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUZZIELLO",
        "first_name": "FAUSTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "036943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V9255",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001369439",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROADMEDICARE",
            "identifier": "P00441640",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "010036943CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "010036943CT07",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5941638",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "754451Q040",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P3846616",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "754451",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peoples Home Healthcare Inc
• Joanna Lynn Perez, OT/L
• Ronald S. Perpetua, DNP
• John Jeffrey Peters, MD
• Mary K Peterson, APRN
• Shana Nicole Pettway
• Caisea Phillips, PT, DPT
• Michelle Jean Piccerillo, LMFT
• Elise Rachel Picciuto
• Sarah Pires, PSYD

• Internal Medicine Physician in North Haven, CT
• Providers in North Haven, 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 Jul 22, 2016; 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.