Individual provider Active NPI

Peter B. Stovell, M.D.

  • Orthopaedic Surgery Physician
  • Fairfield, CT
National Provider Identifier
1861491557
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
015506 Issued in CT
Practice address
164 Greenfield Hill Rd
Fairfield, CT 06824-2123
Phone
(203) 913-9030
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 015506 CT
Orthopaedic Surgery Physician 207X00000X 015506 CT Primary

Addresses

Primary practice location

164 Greenfield Hill Rd
Fairfield, CT 06824-2123

Mailing address

164 Greenfield Hill Rd
Fairfield, CT 06824-2123
Phone (203) 913-9030

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
I20100915000450 CT Practitioner - Orthopedic Surgery 0042252223 Practice locations: Fairfield, CT

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015506CTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Orthopaedics, PC Orthopaedic Surgery PastSince May 27, 2005 Accepting new patients

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1861491557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 GREENFIELD HILL RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068242123",
            "telephone_number": "203-913-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 GREENFIELD HILL RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068242123",
            "telephone_number": "203-913-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVELL",
        "first_name": "PETER",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CT",
            "license": "015506",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "015506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.