Claudio R Petrillo, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

024159 Issued in CT

Practice address

698 West Ave
Norwalk, CT 06850-3302

Phone

(203) 523-0100

Fax

(203) 523-0480

NPI assigned

May 18, 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 1

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

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rehabilitation Consultants PCGroup PAC ID 8820980170, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Rehabilitation Consultants, PC

  • Physical Medicine & Rehabilitation Physician
  • Norwalk, CT
  • NPI 1306898192
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1346441953
  Care Compare affiliation
• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1427041581
  Care Compare affiliation
• Norwalk Hospital Association

  • Land Ambulance
  • Norwalk, CT
  • NPI 1477546521

  Hospital

  Care Compare affiliation
• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1649263880
  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1487607842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3150",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068808150",
            "telephone_number": "203-523-0100",
            "fax_number": "203-523-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 WEST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503302",
            "telephone_number": "203-523-0100",
            "fax_number": "203-523-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRILLO",
        "first_name": "CLAUDIO",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "024159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001241596",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Pertelesi, ATR-BC, LCAT
• Peter Eugene Libre (Connecticut Glaucoma Associates)
• Akeera Peterkin
• Andrea A Peterson, MD
• Bridget Ione Peterson, PA-C
• Susan M Pfeil, LADC
• Tuong-VI Phan, M.D.
• Phase 2 Face Home Care LLC
• Phase 2 Face Home Care, LLC (Phase 2 Face Home Care Agency)
• Gaelle Stacy Philippe

• Physical Medicine & Rehabilitation Physician in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Physical Medicine & Rehabilitation Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.