Individual provider Active NPI

Peter Yale Siroka, DPM

  • Foot & Ankle Surgery Podiatrist
  • Stamford, CT
National Provider Identifier
1356329734
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N-003988-1 Issued in NY
Practice address
1275 Summer St Ste 106
Stamford, CT 06905-5315
Phone
(203) 614-8185
Fax
(800) 432-0712
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N-003988-1 NY Primary

Addresses

Primary practice location

1275 Summer St Ste 106
Stamford, CT 06905-5315

Mailing address

945 Summer St
Stamford, CT 06905-5557
Phone (203) 327-9321

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000698 CT Practitioner - Podiatry 9830281203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1275 Summer St
Stamford, CT 06905-5359
Phone (203) 614-8185

Hospital & facility affiliations

  • Stamford Hospital Hospital, Stamford, CT, CCN 070006

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue52
Removal of skin lesions20
Removal of nail tissue214
Removal or shaving of skin growth52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000664CTMDMental Health Counselor
N-003988-1NYMDFoot & Ankle Surgery Podiatrist
003988-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Y Siroka DPM PC CurrentSince Apr 1, 2007 Accepting new patients
Shoreline Medical, LLP PastSince Aug 7, 1999 Accepting new patients
Westchester Health Associates, P.L.L.C PastSince Apr 1, 2013 Accepting new patients

Locations

1275 Summer St
Ste 106
Stamford, CT 06905
Phone (203) 327-5622

1450 Washington Blvd
#1
Stamford, CT 06902
Phone (203) 327-9321

1450 Washington Blvd
Fl 1
Stamford, CT 06902

945 Summer St
Stamford, CT 06905
Phone (203) 276-4309

1275 Summer St
Stamford, CT 06905
Phone (203) 353-9099

Organizations & group practices 3

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 1

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1356329734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055557",
            "telephone_number": "203-327-9321",
            "fax_number": "800-432-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SUMMER ST STE 106",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055315",
            "telephone_number": "203-614-8185",
            "fax_number": "800-432-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROKA",
        "first_name": "PETER",
        "middle_name": "YALE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N-003988-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.