Individual provider Active NPI

Patrick Fettinger, DPM

  • Podiatrist
  • New Fairfield, CT
National Provider Identifier
1750372272
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000625 Issued in CT
Practice address
88 Route 37
New Fairfield, CT 06812
Phone
(203) 746-9660
Fax
(203) 746-4186
NPI assigned
Nov 3, 2005
Last updated
Aug 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000625 CT Primary

Addresses

Primary practice location

88 Route 37
New Fairfield, CT 06812

Mailing address

88 Route 37
New Fairfield, CT 06812
Phone (203) 746-9660

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070423000374 CT Practitioner - Podiatry 6901901719 Reassigns benefits to 1 organization
Practice locations: Middlebury, CT

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

415 Middlebury Rd
Middlebury, CT 06762-2537
Phone (203) 598-0357

88 Route 37
New Fiarfield, CT 06812

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue66
Removal of skin lesions101
Removal of nail tissue1547
Removal or shaving of skin growth1419

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000625CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Fettinger, DPM Podiatrist CurrentSince Mar 29, 2004 Accepting new patients
Patrick Fettinger DPM Podiatrist CurrentSince Jul 3, 2001 Accepting new patients
Danbury Hospital CurrentSince Oct 6, 2018 Accepting new patients
Danbury Hospital CurrentSince Oct 6, 2018 Accepting new patients
Advanced Podiatric Specialists, PC Podiatrist PastSince Aug 27, 1992 Accepting new patients

Locations

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

70 Main St
Danbury, CT 06810
Phone (203) 739-8100

415 Middlebury Rd
Middlebury, CT 06762
Phone (203) 598-0357

88 State Route 37
New Fairfield, CT 06812
Phone (203) 746-6551

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1750372272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 ROUTE 37",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "06812",
            "telephone_number": "203-746-9660",
            "fax_number": "203-746-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 ROUTE 37",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "06812",
            "telephone_number": "203-746-9660",
            "fax_number": "203-746-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTINGER",
        "first_name": "PATRICK",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Fairfield, CT

Sources for this page

Verify at the official NPI Registry.