1. Home
  2. Directory
  3. Connecticut
  4. West Haven
  5. Internal Medicine
  6. NPI Profile

PETR PROTIVA MD
NPI 1962447409
Internal Medicine - Gastroenterology in West Haven, CT

Active since June 18, 2006PECOS Enrolled
950 CAMPBELL AVE, DEPARTMENT OF MEDICINE, BLD 1, 5TH FLOOR, WEST HAVEN, CT 06516(203) 932-5711 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Petr Protiva Md NPPES

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

PETR PROTIVA MD (NPI 1962447409) is an individual gastroenterology provider in West Haven, Connecticut, licensed in Connecticut (044277) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962447409
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePETR PROTIVACredential: MD
Location Address950 CAMPBELL AVE, DEPARTMENT OF MEDICINE, BLD 1, 5TH FLOORWest Haven, CT 06516-2770
Mailing Address950 Campbell Ave, Department Of Medicine, Bld 1, 5th FloorWest Haven, CT 06516-2770 · (203) 932-5711
Phone(203) 932-5711
Sole ProprietorNo
Enumeration DateJune 18, 2006
Last NPPES UpdateJune 12, 2013
✔ NPI 1962447409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CT · 044277
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
950 CAMPBELL AVE, West Haven, CT 06516
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN100000437CT
Medicare UPINI54979CT
Medicaid1442772CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Petr Protiva Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06516 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
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

LESLIE TANQUILUT PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
950 CAMPBELL AVE, PHARMACY SERVICE (119)
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
NICHOLAS ANDREW VISSICCHIO PH.D.
Psychologist (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
DEVON MACKAY LMSW
Social Worker
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MR. JAMES MICHAEL ALEKSUNES
Counselor
950 CAMPBELL AVE, MS 122V
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MRS. TRACEY PASCARELLA RD
Dietitian, Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
DR. ANTHONY JAMES LISI D.C.
Chiropractor
950 CAMPBELL AVE, BUILDING 2, FLOOR 4
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MS. EVANGELINE BENOIT
Nurse Anesthetist, Certified Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MS. MELISSA ANN SIMONE LCSW
Social Worker (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (860) 694-4875

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 Petr Protiva's NPI number?

The NPI number for Petr Protiva is 1962447409. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Petr Protiva located?

Petr Protiva practices at 950 Campbell Ave Department Of Medicine, Bld 1, 5th Floor, West Haven, CT 06516. The listed phone number is (203) 932-5711.

What is Petr Protiva's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Petr Protiva enrolled in Medicare?

Yes. Petr Protiva is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Petr Protiva was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.