Active NPI
Peter A Shriver, DO
- Ophthalmology Physician
- Middletown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 044842
- Practice address
- 400 Saybrook Road
Suite 100
Middletown, CT 06457-4773 - Phone
- (860) 347-7466
- Fax
- (860) 347-2619
- NPI assigned
- Apr 5, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 044842 | CT | Primary |
Addresses
Primary practice location
400 Saybrook Road
Suite 100
Middletown, CT 06457-4773
Mailing address
400 Saybrook Road
Suite 100
Middletown, CT 06457-4773
Phone (860) 347-7466
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of New England, College of Osteo Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Saybrook Rd
Suite 100
Middletown, CT 06457-4774
Phone (860) 347-7466
Hospital & facility affiliations
- Hartford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.71 of 100
- Quality
- 94.47
- Improvement activities
- 40
- Cost
- 76.4
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 234 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6124 | FL | MD | Optometrist |
| 044842 | CT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Eye Physicians P.C. | Ophthalmology | Current | Accepting new patients |
| Middlesex Eye Physicians, P.C. | Ophthalmology | Current | Accepting new patients |
Locations
610 Foxon Rd
East Haven, CT 06513
Phone (203) 468-8800
515 Boston St
Guilford, CT 06437
Phone (203) 453-3100
400 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 347-7466
48 Main St
Ste 2
Old Saybrook, CT 06475
Phone (860) 347-7466
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.
-
- Ophthalmology Physician
- Middletown, CT
- NPI 1295716413
-
- Ophthalmology Physician
- East Haven, CT
- NPI 1942010665
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1457313371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SAYBROOK ROAD",
"address_2": "SUITE 100",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574773",
"telephone_number": "860-347-7466",
"fax_number": "860-347-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SAYBROOK ROAD",
"address_2": "SUITE 100",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574773",
"telephone_number": "860-347-7466",
"fax_number": "860-347-2619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRIVER",
"first_name": "PETER",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "044842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.