Individual provider Active NPI

John Dasilva, MD

  • Anesthesiology Physician
  • Shelton, CT
National Provider Identifier
1740554195
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
054204 Issued in CT
Practice address
2 Trap Falls Rd
Suite 414
Shelton, CT 06484-4616
Phone
(203) 929-7353
Fax
(203) 929-0756
NPI assigned
Mar 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MA
Anesthesiology Physician 207L00000X 054204 CT Primary

Addresses

Primary practice location

2 Trap Falls Rd
Suite 414
Shelton, CT 06484-4616

Mailing address

52 Dartmouth Ave
West Hartford, CT 06110-1209
Phone (317) 674-6987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150723007756 CT Practitioner - Anesthesiology 7012220734 Reassigns benefits to 4 organizations
I20190808002626 MA Practitioner - Anesthesiology 7012220734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodland Anesthesia Associates PCGroup PAC ID 8820083652, 172 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-6654

271 Carew St
Springfield, MA 01104-2377
Phone (860) 714-9688

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054204CTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Willimantic PC Anesthesiology CurrentSince Jul 17, 2017 Accepting new patients
Integrated Anesthesia Associates LLC Anesthesiology CurrentSince Jun 1, 2015 Accepting new patients
Charter Anesthesiology LLC Anesthesiology CurrentSince May 7, 2019 Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

300 Seaside Ave
Milford, CT 06460
Phone (203) 876-4000

37 Kennedy Dr
Ste C
Putnam, CT 06260
Phone (860) 423-7558

2 Trap Falls Rd
Ste 414
Shelton, CT 06484
Phone (860) 282-4128

2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375

1185 Main St
Willimantic, CT 06226
Phone (860) 423-7558

100 Wason Ave
Ste 110
Springfield, MA 01107
Phone (413) 304-2171

Interoperability endpoints

  • Direct secure messaging: jdasilva2388563@direct.trinity-health.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1740554195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 DARTMOUTH AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101209",
            "telephone_number": "317-674-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD",
            "address_2": "SUITE 414",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844616",
            "telephone_number": "203-929-7353",
            "fax_number": "203-929-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASILVA",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "054204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.