Individual provider Active NPI

Joseph Carmine Paviglianiti, M.D.

  • Ophthalmology Physician
  • Fredericksburg, VA
National Provider Identifier
1205809597
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101279927 Issued in VA
Practice address
2201 Charles St Ste 103
Fredericksburg, VA 22401-3378
Phone
(540) 681-1211
Fax
(540) 681-1544
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD423479 PA
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X MD423479 PA
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 0101279927 VA
Ophthalmology Physician 207W00000X 0101279927 VA Primary

Addresses

Primary practice location

2201 Charles St Ste 103
Fredericksburg, VA 22401-3378

Mailing address

2201 Charles St Ste 103
Fredericksburg, VA 22401-3378
Phone (540) 681-1211

Other identifiers 1

IdentifierTypeStateIssuer
101195689MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 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
I20041026000740 PA Practitioner - Ophthalmology 6305807934 Reassigns benefits to 1 organization
I20240516003395 VA Practitioner - Ophthalmology 6305807934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Florida College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2201 Charles St
Suite 103
Fredericksburg, VA 22401-3378
Phone (412) 855-4319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101279927VAMDOphthalmology Physician
MD423479PAMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Ophthalmology and Adult Strabismus of Fredericksburg, P.C. Pediatric Ophthalmology and Strabismus Specialist CurrentSince Apr 16, 2024 Accepting new patients
Pediatric Ophthalmology & Strabismus Inc Ophthalmology CurrentSince Jun 1, 2004 Accepting new patients
Florida Eye Clinic P a Ophthalmology Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

124 Graham Park Dr
Ste 300
Cranberry Twp, PA 16066
Phone (724) 722-3388

20397 Route 19
Ste 300
Cranberry Twp, PA 16066
Phone (724) 772-3338

20397 Route 19
Cranberry Twp, PA 16066
Phone (724) 772-1881

20397 Route 19
Ste 232
Cranberry Twp, PA 16066
Phone (724) 776-0011

2201 Charles St
Ste 103
Fredericksburg, VA 22401
Phone (412) 855-4319

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1205809597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CHARLES ST STE 103",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013378",
            "telephone_number": "540-681-1211",
            "fax_number": "540-681-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CHARLES ST STE 103",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013378",
            "telephone_number": "540-681-1211",
            "fax_number": "540-681-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVIGLIANITI",
        "first_name": "JOSEPH",
        "middle_name": "CARMINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD423479",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "PA",
            "license": "MD423479",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "VA",
            "license": "0101279927",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101279927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101195689",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.