Peter Francis Daddario, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

029024 Issued in CT

Practice address

25 Newell Rd Ste D21
Bristol, CT 06010

Phone

(860) 585-6944

Fax

(860) 585-7746

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bristol Hospital Multi Specialty Group, Inc

  • General Practice Physician
  • Bristol, CT
  • NPI 1649265679

  Surgery

  Medicare reassignment NPD
• Bristol Urologic Associates PC

  • Urology Physician
  • Bristol, CT
  • NPI 1710015839
  NPD Authorized official

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1891874376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NEWELL RD STE D21",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105128",
            "telephone_number": "860-585-6944",
            "fax_number": "860-585-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NEWELL RD STE D21",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-585-6944",
            "fax_number": "860-585-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADDARIO",
        "first_name": "PETER",
        "middle_name": "FRANCIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "CT029024",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "029024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "010029024CT03",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CT Emergency Medicine Specialists, LLC
• CT Lymph Clinic LLC
• Michael E Cucka, MD
• Allen A. Currier Jr., M.D.
• Joanne E Cyr-Callaghan, BC HIS
• Marita G Daly, LCSW
• Danico Prescriptions Inc. (Beacon Prescriptions LTC)
• Danico Prescriptions Inc. (Beacon Prescriptions)
• Rebecca Dasilva
• Crystal Mary Davis

• Surgery Physician in Bristol, CT
• Providers in Bristol, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.