Individual provider Active NPI

Daniel Pievsky, D.O

  • Gastroenterology Physician
  • Westerly, RI
National Provider Identifier
1346669462
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
DO01016 Issued in RI
Practice address
45 Wells St Ste 103
Westerly, RI 02891-2927
Phone
(401) 596-6330
Fax
(860) 865-2380
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Gastroenterology Physician 207RG0100X 25MB10593400 NJ
Gastroenterology Physician 207RG0100X 65023 CT
Gastroenterology Physician 207RG0100X DO01016 RI Primary

Addresses

Primary practice location

45 Wells St Ste 103
Westerly, RI 02891-2927

Mailing address

45 Wells St Ste 103
Westerly, RI 02891-2927
Phone (401) 596-6330

Other practice location 1

150 Bergen St
Room I-248
Newark, NJ 07103-2496
Phone (973) 972-3106

Other practice location 2

23 Clara Dr
Mystic, CT 06355-1959
Phone (401) 596-6330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 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

Enrollment IDStateProvider typePAC IDDetails
I20200730002212 RI Practitioner - GastroenterologyPractitioner - Internal Medicine 6204251770 Reassigns benefits to 1 organization
I20200730002737 CT Practitioner - GastroenterologyPractitioner - Internal Medicine 6204251770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of New England, College of Osteo Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

23 Clara Dr
Mystic, CT 06355-1959
Phone (860) 572-5782

25 Wells St
Westerly, RI 02891-2922
Phone (401) 596-6000

45 E Ave
Westerly, RI 02891-3113
Phone (401) 637-4186

Hospital & facility affiliations

  • Westerly Hospital Hospital, Westerly, RI, CCN 410013
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy100
Upper gastrointestinal (GI) endoscopy for acid reflux125
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65023CTMDGastroenterology Physician
25MB10593400NJMDGastroenterology Physician
DO01016RIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Specialists, Inc Gastroenterology CurrentSince Jun 21, 2020 Accepting new patients
Northeast Medical Group, Inc. Dietitian, Registered CurrentSince Jul 20, 2020 Accepting new patients

Locations

23 Clara Dr
Mystic, CT 06355
Phone (860) 443-7907

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

45 Wells St
Ste 103
Westerly, RI 02891
Phone (401) 596-6330

45 Wells St
Westerly, RI 02891
Phone (401) 348-0008

Interoperability endpoints

  • Direct secure messaging: dpievsky467748@direct.ynhh.org

Organizations & group practices 2

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 5

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1346669462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WELLS ST STE 103",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912927",
            "telephone_number": "401-596-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WELLS ST STE 103",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912927",
            "telephone_number": "401-596-6330",
            "fax_number": "860-865-2380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Bergen St",
            "address_2": "Room I-248",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032496",
            "country_code": "US",
            "telephone_number": "973-972-3106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Clara Dr",
            "address_purpose": "LOCATION",
            "city": "Mystic",
            "state": "CT",
            "postal_code": "063551959",
            "country_code": "US",
            "telephone_number": "401-596-6330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIEVSKY",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MB10593400",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "65023",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "DO01016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.