Active NPI
Robert J Patrignelli, MD
- Dermatology Physician
- Trumbull, CT
National Provider Identifier
1700889094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 033309
- Practice address
- 965 White Plains Rd
Trumbull, CT 06611-4566 - Phone
- (203) 261-0800
- Fax
- (203) 268-2668
- NPI assigned
- May 31, 2005
- Reactivated
- Apr 4, 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 033309 | CT | Primary |
Addresses
Primary practice location
965 White Plains Rd
Trumbull, CT 06611-4566
Mailing address
965 White Plains Rd
Trumbull, CT 06611-4566
Phone (203) 261-0800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P1033953 | Other | CT | OXFORD PROVIDER NUMBER |
| 2V2765 | Other | CT | HEALTH NET PROVIDER NUMBE |
| 2054081 | Other | CT | AETNA PROVIDER NUMBER |
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
- Dermatology
- Education
- Georgetown University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17 Church Hill Rd
Trumbull, CT 06611-3116
Phone (203) 261-0800
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 181 |
| Removal of tissue | 11 |
| Removal of skin lesions | 1671 |
| Removal of nail tissue | 39 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1750 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033309 | CT | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert J Patrignelli MD PC | Current | Accepting new patients |
Locations
17 Church Hill Rd
Trumbull, CT 06611
Phone (203) 261-0800
Interoperability endpoints
- rpatrignelli@directaddress.net
Organizations & group practices 1
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.
-
- Procedural Dermatology Physician
- Trumbull, CT
- NPI 1336532647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1700889094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 WHITE PLAINS RD",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114566",
"telephone_number": "203-261-0800",
"fax_number": "203-268-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 WHITE PLAINS RD",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114566",
"telephone_number": "203-261-0800",
"fax_number": "203-268-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRIGNELLI",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2007-07-23",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CT",
"license": "033309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER NUMBER",
"identifier": "P1033953",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET PROVIDER NUMBE",
"identifier": "2V2765",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "2054081",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.