NPIMap

Individual provider Active NPI

Dino A Delaurentis, DO

  • Urology Physician
  • Clarksville, TN
National Provider Identifier
1235143025
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2143 Issued in TN
Practice address
787 Weatherly Dr
400
Clarksville, TN 37043-8952
Phone
(931) 291-9150
Fax
(931) 291-9102
NPI assigned
Jul 28, 2006
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 34.008615 OH
Urology Physician 208800000X 036-106625 IL
Pediatric Urology Physician 2088P0231X DO0000002143 TN
Urology Physician 208800000X 2143 TN Primary

Addresses

Primary practice location

787 Weatherly Dr
400
Clarksville, TN 37043-8952

Mailing address

787 Weatherly Dr
400
Clarksville, TN 37043-8952
Phone (931) 291-9150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000139 TN Practitioner - Urology 3072539493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection31
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-106625ILMDUrology Physician
34.008615OHMDUrology Physician
DO0000002143TNMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Dec 1, 2023 Accepting new patients
Dino a Delaurentis DO PLLC Urology CurrentSince Aug 1, 2013 Accepting new patients
Timothy K Duffin MD PLC Current Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Dec 1, 2023 Accepting new patients

Locations

787 Weatherly Dr
Ste 400
Clarksville, TN 37043
Phone (931) 291-9150

800 Weatherly Dr
Ste 100L
Clarksville, TN 37043
Phone (931) 553-2800

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: dino.delaurentis@ahp.eclinicaldirectplus.com

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, 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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1235143025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 WEATHERLY DR",
            "address_2": "400",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438952",
            "telephone_number": "931-291-9150",
            "fax_number": "931-291-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 WEATHERLY DR",
            "address_2": "400",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438952",
            "telephone_number": "931-291-9150",
            "fax_number": "931-291-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAURENTIS",
        "first_name": "DINO",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "34.008615",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036-106625",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "TN",
            "license": "DO0000002143",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "2143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.