Individual provider Active NPI

Robert J Patrignelli, MD

  • Dermatology Physician
  • Trumbull, CT
National Provider Identifier
1700889094
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
033309 Issued in CT
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

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P1033953OtherCTOXFORD PROVIDER NUMBER
2V2765OtherCTHEALTH NET PROVIDER NUMBE
2054081OtherCTAETNA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081107000706 CT Practitioner - DermatologyPractitioner - Internal Medicine 4385703172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
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 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision181
Removal of tissue11
Removal of skin lesions1671
Removal of nail tissue39
Removal or shaving of skin growth1-10
Skin biopsy1750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
033309CTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Patrignelli MD PC CurrentSince Jan 1, 2015 Accepting new patients

Locations

17 Church Hill Rd
Trumbull, CT 06611
Phone (203) 261-0800

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.