Daniel E. Petashnick, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

035638 Issued in CT

Practice address

732 Main St
Manchester, CT 06040-5106

Phone

(860) 649-5177

Fax

(860) 664-3490

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Merit-based Incentive Payment System (MIPS)

Final score

85.94 of 100Reported as group

Quality

89.64

Promoting interoperability

95

Improvement activities

40

Cost

67.65

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: dpetashnick@refocus.intellechartdirect.net

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1437186251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405106",
            "telephone_number": "860-649-5177",
            "fax_number": "860-664-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405106",
            "telephone_number": "860-649-5177",
            "fax_number": "860-664-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETASHNICK",
        "first_name": "DANIEL",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "035638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437186251",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001356387",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aidan A Persaud
• Toscha M. Pertillar, MSW
• Trisha Lyn Pesce, M.D.
• Kelly Ellen Pestey, COTA
• Stephen M. Peszynski, DPT
• Briana Marie Peterson, PA-C
• Trey M Peterson
• Samantha Petillo, PHARMD
• Vladrose Petit-Frere, B.A.
• Pamela J Petoskey

• Ophthalmology Physician in Manchester, CT
• Providers in Manchester, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.