ARCANGELO DISTEFANO (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1902869415

ARCANGELO DISTEFANO (MD) is a healthcare provider. based in Bridgeport, Connecticut. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 028828 (CT). The NPI Number for ARCANGELO DISTEFANO (MD) is 1902869415

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
ARCANGELO DISTEFANO (MD)
NPI
1902869415
Phone
(203) 373-9100
Address
3180 MAIN ST
Enumeration Date
7 April 2006
Last Update Date
31 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2033843388
Graduation Year
1985 (41 years ago)
PAC ID
8628137700
Group Practice PAC ID
1254233836
Professional Enrollment ID
I20090203000314
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,447 INTERNAL MEDICINE in CT

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Provider Addresses for ARCANGELO DISTEFANO (MD)

  • 3180, Main Street, Bridgeport, Fairfield County, Connecticut, 06606, United States

    SUITE 301

    BRIDGEPORT, CT 066064237

    Phone: (203) 373-9100

    Fax: (203) 365-8492

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-02-22 • Largest payer in this snapshot: Amgen Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$14
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090203000314IInternal MedicineCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes281130$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9191$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes6920$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report4543$0
G0008Administration of influenza virus vaccine4241$0
View full utilization report →

Insurance plans in this area (ZIP 06606)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254233836View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
-CT
-CT
Internal MedicineNJ
Hospitalist, Internal MedicineCT
-CT
-CT
Internal MedicineCT
Nurse PractitionerCT
Physician AssistantCT

Reviews

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Frequently asked questions

Is ARCANGELO DISTEFANO (MD) listed with a National Provider Identifier?
Yes — ARCANGELO DISTEFANO (MD) has NPI 1902869415 on file in the registry.
Is there an active status for ARCANGELO DISTEFANO (MD)?
For scheduling context, ARCANGELO DISTEFANO (MD) is shown as active in the registry.
How would a patient describe ARCANGELO DISTEFANO (MD)'s focus?
For ARCANGELO DISTEFANO (MD), the primary taxonomy reads as Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is ARCANGELO DISTEFANO (MD) associated with Bridgeport?
Public fields place ARCANGELO DISTEFANO (MD) around Bridgeport, Connecticut. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for ARCANGELO DISTEFANO (MD) is noted as April 7, 2006 where the registry provides it.

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