Marisa Kim Dematteo-santa (NPI# 1184809253, PAC ID# 6709935869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1184809253 |
| PAC ID by PECOS | 6709935869 |
| Professional Enrollment ID | I20110727000198 |
| Full Name | Marisa Kim Dematteo-santa |
| Organization Legal Name | DEVANG C PATEL PC |
| Address |
488 Main Ave Norwalk CT 06851-1008 |
| Phone Number | 2038380442 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4587740576 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070034 | NORWALK HOSPITAL ASSOCIATION |
| 070033 | DANBURY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 488 Main Ave, Norwalk, CT 06851-1008 | 2038380442 | DEVANG C PATEL PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 69% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% |
| Organization Legal Name | DEVANG C PATEL PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devang C Patel | Podiatry | Devang C Patel PC | 488 Main Ave, Norwalk, CT 06851-1008 |
| Street Address |
488 MAIN AVE |
| City | NORWALK |
| State | CT |
| Zip | 06851-1008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devang C Patel | Podiatry | Devang C Patel PC | 488 Main Ave, Norwalk, CT 06851-1008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen L Harris | Clinical Social Worker | 128 E Ave, 4th Floor, Norwalk, CT 06851 | |
| Julianne M Wilmot | Physician Assistant | Drx Norwalk, P.c | 607 Main Ave, Norwalk, CT 06851-1058 |
| Mark Wasserman | Internal Medicine | Drx Norwalk, P.c | 607 Main Ave, Norwalk, CT 06851-1058 |
| Diana L Greenia | Nurse Practitioner | Drx Norwalk, P.c | 607 Main Ave, Norwalk, CT 06851-1058 |
| Robert Purslow | Physical Therapy | 454 Main Ave, Norwalk, CT 06851-1063 | |
| Christina S Chao | Physician Assistant | The Connecticut Dermatology Group PC | 761 Main Ave, Suite 102, Norwalk, CT 06851-1080 |
| Judith Elson | Optometry | Scott M Spector | 761 Main Ave, Suite 107, Norwalk, CT 06851-1080 |
| Scott Michael Spector | Ophthalmology | Scott M Spector | 761 Main Ave, Suite 107, Norwalk, CT 06851-1080 |
| Sheldon B Greenberg | Otolaryngology | Robert L Weiss Md PC | 761 Main Ave, Suite 101, Norwalk, CT 06851-1080 |
| Soma Ghosh Karak | Pathology | Soundview Medical Associates LLC | 761 Main Ave, Suite 201, Norwalk, CT 06851-1080 |
| Find all physicians in zip 06851 | |||
| City | NORWALK |
| Zip Code | 06851 |
| Specialty | PODIATRY |
| City + Specialty | NORWALK + PODIATRY |
Please comment or provide details below to improve the information on Marisa Kim Dematteo-santa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.