JOAO DANIEL TRINDADE FONTES MD
NPI 1790951606
Internal Medicine - Cardiovascular Disease in Derby, CT

Active since May 01, 2008PECOS EnrolledAccepts Medicare Assignment
79.22/100
CMS Quality Rating
130 DIVISION ST FL 1, DERBY, CT 06418(203) 732-1257(203) 732-2470 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2023, Sep 11, 2020 (2 updates tracked since 2020).

About Joao Daniel Trindade Fontes Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOAO DANIEL TRINDADE FONTES MD (NPI 1790951606) is an individual cardiovascular disease provider in Derby, Connecticut, licensed in Connecticut (84620) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1790951606
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJOAO DANIEL TRINDADE FONTESCredential: MD
Location Address130 DIVISION ST FL 1Derby, CT 06418-1326
Mailing Address67 Maple AveDerby, CT 06418-1328
Fax(203) 732-2470
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 1, 2008
Last NPPES UpdateJune 11, 20262 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1790951606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in CT · 84620✔ Licensed in CA · C169557✔ Licensed in NY · 278667
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 84620 (CT)
130 DIVISION ST FL 1, Derby, CT 06418

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joao Daniel Trindade Fontes Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951534809
PECOS Enrollment IDI20150610001417, I20260716000458
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Joao Daniel Fontes reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
67 MAPLE AVE, 2ND FLOOR
Derby, CT 06418
  • Reassigned Medicare billing, Connecticut enrollment
  • 190 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
Cardiovascular Disease
35 CREEK RD
Irvine, CA 92604
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
Family Medicine
18661 HIGHWAY 120
Groveland, CA 95321
  • Reassigned Medicare billing, California enrollment
  • 172 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
425 services184 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
297 services279 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
179 services92 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
144 services140 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.14
Promoting Interoperability97
Improvement Activities40
Cost47.11

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
130 DIVISION ST FL 1
DERBY, CT 06418
Nurse Practitioner
130 DIVISION ST FL 1
DERBY, CT 06418
Physician Assistant
130 DIVISION ST FL 1
DERBY, CT 06418
Physician Assistant
130 DIVISION ST FL 1
DERBY, CT 06418
Internal Medicine (Cardiovascular Disease)
130 DIVISION ST FL 1
DERBY, CT 06418
Nurse Practitioner (Family)
130 DIVISION ST FL 1
DERBY, CT 06418
Nurse Practitioner (Family)
130 DIVISION ST FL 1
DERBY, CT 06418
Internal Medicine (Cardiovascular Disease)
130 DIVISION ST FL 1
DERBY, CT 06418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joao Daniel Fontes's NPI number?

The NPI number for Joao Daniel Fontes is 1790951606. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Where is Joao Daniel Fontes located?

Joao Daniel Fontes practices at 130 Division St Fl 1, Derby, CT 06418. The listed phone number is (203) 732-1257.

What is Joao Daniel Fontes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Joao Daniel Fontes enrolled in Medicare?

Yes. Joao Daniel Fontes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Joao Daniel Fontes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joao Daniel Fontes reassigns Medicare benefits to 5 organizations: Griffin Faculty Physicians, Inc. (Derby, CT), North Shore-Lij Medical PC (Great Neck, NY), Montefiore Medical Center (Bronx, NY), Pacific Cardiovascular Associates Medical Group, Inc. (Irvine, CA) and Sonora Community Hospital (Groveland, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joao Daniel Fontes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joao Daniel Fontes accept?

Health plans from Anthem Blue Cross and Blue Shield list Joao Daniel Fontes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joao Daniel Fontes affiliated with any hospitals?

According to CMS data, Joao Daniel Fontes is affiliated with Lenox Hill Hospital.

When was this NPI record last updated?

The NPPES record for Joao Daniel Fontes was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.