Active NPI
Peter Milstein, M.D.
- Cardiovascular Disease Physician
- Waterford, CT
National Provider Identifier
1366482556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 21580
- Practice address
- 196 Parkway South
Suite 103
Waterford, CT 06385 - Phone
- (860) 443-4383
- Fax
- (860) 443-3980
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 21580 | CT | Primary |
Addresses
Primary practice location
196 Parkway South
Suite 103
Waterford, CT 06385
Mailing address
196 Parkway South
Suite 103
Waterford, CT 06385
Phone (860) 443-4383
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500HBC444CT01 | Other | ANTHEM:HOSP-BASED ECCD | |
| P2523177 | Other | OXFORD/ECCD: 06-1616101 | |
| 060014260 | Other | RR MED/ECCG: 06-1049086 | |
| 001215805 | Medicaid | CT | |
| 010021580CT01 | Other | ANTHEM/ECCG: 06-1049086 | |
| 060064819 | Other | RR MED/ECCD: 06-1616101 | |
| 001215805 | Other | BLUECARE FAMILY PLAN | |
| 010021580CT05 | Other | ANTHEM/ECCD: 06-1616101 | |
| 030251 | Other | HEALTHNET/ECCG:06-1049086 | |
| 0V9735 | Other | HEALTHNET/ECCD:06-1616101 | |
| 769086 | Other | CONNECTICARE | |
| NLS106 | Other | OXFORD/ECCG: 06-1049086 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21580 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Radiology Associates PC | Past | Accepting new patients | |
| Eastern CT Cardiology Diagnostics, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Eastern Conn. Cardiology Group | Cardiovascular Disease | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- Waterford, CT
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1366482556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 PARKWAY SOUTH",
"address_2": "SUITE 103",
"city": "WATERFORD",
"state": "CT",
"postal_code": "06385",
"telephone_number": "860-443-4383",
"fax_number": "860-437-0819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 PARKWAY SOUTH",
"address_2": "SUITE 103",
"city": "WATERFORD",
"state": "CT",
"postal_code": "06385",
"telephone_number": "860-443-4383",
"fax_number": "860-443-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILSTEIN",
"first_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "21580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM:HOSP-BASED ECCD",
"identifier": "500HBC444CT01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD/ECCD: 06-1616101",
"identifier": "P2523177",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MED/ECCG: 06-1049086",
"identifier": "060014260",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001215805",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM/ECCG: 06-1049086",
"identifier": "010021580CT01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MED/ECCD: 06-1616101",
"identifier": "060064819",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECARE FAMILY PLAN",
"identifier": "001215805",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM/ECCD: 06-1616101",
"identifier": "010021580CT05",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET/ECCG:06-1049086",
"identifier": "030251",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET/ECCD:06-1616101",
"identifier": "0V9735",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "769086",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD/ECCG: 06-1049086",
"identifier": "NLS106",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.