Individual provider Active NPI

Jarrod Michael Buzalewski, DO

  • Surgery Physician
  • Salisbury, MD
National Provider Identifier
1134546955
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C2-0023954 Issued in DE
Practice address
800 S Salisbury Blvd
Salisbury, MD 21801-6266
Phone
(302) 297-2412
NPI assigned
Mar 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C2-0023954 DE Primary

Addresses

Primary practice location

800 S Salisbury Blvd
Salisbury, MD 21801-6266

Mailing address

PO Box 824327
Philadelphia, PA 19182-4327
Phone (302) 990-3300

Other practice location 1

100 Rawlins Dr
Seaford, DE 19973-5881
Phone (302) 990-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211004000050 DE Practitioner - General Surgery 3274837323 Reassigns benefits to 2 organizations
I20221024000001 MD Practitioner - General Surgery 3274837323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians

Practice addresses (Care Compare)

Seaford, DE 19973
Phone 30262966118802

200 Health Services Dr
Seaford, DE 19973-5771
Phone (302) 297-2412

201 Health Services Dr
Seaford, DE 19973-5771
Phone (302) 297-2412

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)22
Upper gastrointestinal (GI) endoscopy for acid reflux18
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
C2-0023954DEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Physician Network, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Jun 29, 2022 Accepting new patients
Tidalhealth Nanticoke, Inc Past Accepting new patients

Locations

100 Rawlins Dr
Seaford, DE 19973
Phone (302) 536-5415

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1134546955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824327",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191824327",
            "telephone_number": "302-990-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S SALISBURY BLVD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016266",
            "telephone_number": "302-297-2412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Rawlins Dr",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199735881",
            "country_code": "US",
            "telephone_number": "302-990-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUZALEWSKI",
        "first_name": "JARROD",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-19",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "C2-0023954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.