Individual provider Active NPI

Stefano Fusi, MD

  • Plastic and Reconstructive Surgery Physician
  • Guilford, CT
National Provider Identifier
1336185883
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
028104 Issued in CT
Practice address
5 Durham Rd
Guilford, CT 06437-2076
Phone
(203) 458-4444
Fax
(203) 458-4447
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 028104 CT
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 028104 CT
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 028104 CT
Surgery of the Hand (Surgery) Physician 2086S0105X 028104 CT
Plastic and Reconstructive Surgery Physician 2086S0122X 028104 CT Primary

Addresses

Primary practice location

5 Durham Rd
Guilford, CT 06437-2076

Mailing address

5 Durham Rd
Guilford, CT 06437-2076
Phone (203) 458-4444

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
I20040223000139 CT Practitioner - Plastic and Reconstructive Surgery 1355237959 Reassigns benefits to 1 organization
Practice locations: Guilford, CT

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Durham Rd
Unit 1 4
Guilford, CT 06437-2076
Phone (203) 458-4444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy16
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fusi and Craig Plastic Surgery, PA CurrentSince Feb 1, 2016 Accepting new patients

Locations

5 Durham Rd
Unit 14
Guilford, CT 06437
Phone (203) 458-4444

5 Durham Rd
Guilford, CT 06437
Phone (203) 458-2040

Interoperability endpoints

  • Direct secure messaging: stefano.fusi@xdr.hhchealthdirect.org
  • Direct secure messaging: sfusi3155@direct.ynhh.org

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1336185883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DURHAM RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372076",
            "telephone_number": "203-458-4444",
            "fax_number": "203-458-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DURHAM RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372076",
            "telephone_number": "203-458-4444",
            "fax_number": "203-458-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSI",
        "first_name": "STEFANO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "028104",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CT",
            "license": "028104",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CT",
            "license": "028104",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CT",
            "license": "028104",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CT",
            "license": "028104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.