Individual provider Active NPI

Joanna Lumba Sarracino, MD

  • Ophthalmology Physician
  • Fairfield, CT
National Provider Identifier
1841223484
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
049509 Issued in CT
Practice address
2371 Black Rock Tpke
Fairfield, CT 06825-3229
Phone
(203) 371-0141
Fax
(203) 371-0141
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 049509 CT Primary

Addresses

Primary practice location

2371 Black Rock Tpke
Fairfield, CT 06825-3229

Mailing address

2371 Black Rock Tpke
Fairfield, CT 06825-3229
Phone (203) 371-0141

Other names 1

  • Dr. Joanna Donato Sarracino Former name

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
I20110803000282 CT Practitioner - Ophthalmology 8224015656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Surgeons of GR BPT PCGroup PAC ID 7214968353, 6 clinicians

Practice addresses (Care Compare)

2371 Black Rock Tpke
Fairfield, CT 06825-3229
Phone (203) 371-0141

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
049509CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Surgeons of GR BPT PC Ophthalmology CurrentSince Aug 1, 2011 Accepting new patients
Stanford Health Care Past Accepting new patients
Paul K. Row, M.D., a Medical Corporation Ophthalmology Past Accepting new patients
Thomas Tayeri M D Inc Ophthalmology Past Accepting new patients

Locations

2371 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 371-0141

1825 Barnum Ave
Ste 202
Stratford, CT 06614
Phone (203) 386-1800

1825 Barnum Ave
Stratford, CT 06614
Phone (203) 377-1777

Interoperability endpoints

  • Direct secure messaging: jls@ophthalmicsurgeons.ecldirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1841223484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253229",
            "telephone_number": "203-371-0141",
            "fax_number": "203-371-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2371 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253229",
            "telephone_number": "203-371-0141",
            "fax_number": "203-371-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARRACINO",
        "first_name": "JOANNA",
        "middle_name": "LUMBA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "049509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "SARRACINO",
            "middle_name": "DONATO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.