Active NPI
Joseph John Ridilla, D.O.
- Surgery Physician
- Wilkes Barre, PA
National Provider Identifier
1023160686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS007440L
- Practice address
- 476 E Northampton St
Wilkes Barre, PA 18702-6329 - Phone
- (570) 825-4460
- Fax
- (570) 825-6140
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OS007440L | PA | Primary |
Addresses
Primary practice location
476 E Northampton St
Wilkes Barre, PA 18702-6329
Mailing address
476 E Northampton St
Wilkes Barre, PA 18702-6329
Phone (570) 825-4460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
476 E Northampton St
Wilkes Barre, PA 18702-6329
Phone (570) 825-4460
Hospital & facility affiliations
- Wilkes-Barre General Hospital
- Geisinger Wyoming Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 16.94 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 56.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 14 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 47 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS007440L | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Memorial Hospital | Current | Accepting new patients | |
| Wayne Memorial Hospital | Current | Accepting new patients | |
| Joseph J. Ridilla,D.O.PC | Surgery | Past | Accepting new patients |
Locations
601 Park St
Honesdale, PA 18431
Phone (570) 253-8100
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Honesdale, PA
- NPI 1124026182
-
- Surgery Physician
- Wilkes Barre, PA
- NPI 1679849731
-
- General Acute Care Hospital
- Honesdale, PA
- NPI 1649573023
Hospital & facility affiliations 22
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Diagnostic Radiology Physician
- Pittston, PA
- NPI 1104292960
Hospital
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1174822068
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1275620585
-
- General Acute Care Hospital
- Pittston, PA
- NPI 1316692585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023160686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "476 E NORTHAMPTON ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187026329",
"telephone_number": "570-825-4460",
"fax_number": "570-825-6140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "476 E NORTHAMPTON ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187026329",
"telephone_number": "570-825-4460",
"fax_number": "570-825-6140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDILLA",
"first_name": "JOSEPH",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "OS007440L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.