Individual provider Active NPI

Athanassios Petrotos, M.D.

  • Surgery Physician
  • Greenwich, CT
National Provider Identifier
1861566002
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
043286 Issued in CT
Practice address
77 Lafayette PL
Suite 301
Greenwich, CT 06830-5426
Phone
(203) 863-4300
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 043286 CT Primary

Addresses

Primary practice location

77 Lafayette PL
Suite 301
Greenwich, CT 06830-5426

Mailing address

C/O Greenwich Hospital
5 Perryridge Rd., Ste. 3-2200
Greenwich, CT 06830-4608
Phone (203) 863-4300

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
I20050802001256 CT Practitioner - General Surgery 6800824517 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3000

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Hospital & facility affiliations

  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043286CTMDSurgery Physician
001594NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Hospital CurrentSince Jan 1, 2015 Accepting new patients
Greenwich Hospital CurrentSince Jan 1, 2015 Accepting new patients
Yale University CurrentSince Mar 5, 2020 Accepting new patients
Northeast Medical Group, Inc. Surgery CurrentSince Dec 16, 2013 Accepting new patients
Yale University Surgery Current Accepting new patients
Yale University CurrentSince Mar 5, 2020 Accepting new patients

Locations

77 Lafayette Pl
Ste 301
Greenwich, CT 06830
Phone (203) 863-4300

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

77 Lafayette Pl
Greenwich, CT 06830
Phone (203) 863-3737

5 Perryridge Rd
Ste 32200
Greenwich, CT 06830
Phone (203) 863-4300

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: apetrotos7146@direct.ynhh.org

Organizations & group practices 6

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 1

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1861566002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O GREENWICH HOSPITAL",
            "address_2": "5 PERRYRIDGE RD., STE. 3-2200",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304608",
            "telephone_number": "203-863-4300",
            "fax_number": "203-863-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 LAFAYETTE PL",
            "address_2": "SUITE 301",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305426",
            "telephone_number": "203-863-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROTOS",
        "first_name": "ATHANASSIOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "043286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.