Individual provider Active NPI

Stephen Anthony Vannucci, MD

  • Dermatopathology Physician
  • Chico, CA
National Provider Identifier
1255405783
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
A71303 Issued in CA
Practice address
251 Cohasset Rd
Suite 230
Chico, CA 95926-2241
Phone
(530) 342-3686
Fax
(530) 342-4199
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X A71303 CA Primary

Addresses

Primary practice location

251 Cohasset Rd
Suite 230
Chico, CA 95926-2241

Mailing address

1040 Mangrove Ave
Chico, CA 95926-3509
Phone (530) 345-0064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040421001878 CA Practitioner - Dermatology 3173519501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Maryland School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mangrove Medical GroupGroup PAC ID 0143260687, 10 clinicians

Practice addresses (Care Compare)

1040 Mangrove Ave
Chico, CA 95926-3509
Phone 5303450064268

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
78.32
Promoting interoperability
100
Improvement activities
40
Cost
73.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision65
Removal of skin lesions4792
Removal of skin cancer1071
Removal or shaving of skin growth1-10
Skin biopsy1188

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Vannucci Dermatology, Inc. Dermatopathology Current Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

251 Cohasset Rd
Ste 230
Chico, CA 95926
Phone (530) 342-3686

251 Cohasset Rd
#2
Chico, CA 95926
Phone (530) 342-3686

251 Cohasset Rd
Ste 260
Chico, CA 95926
Phone (530) 342-3686

251 Cohasset Rd
Ste 240
Chico, CA 95926
Phone (530) 342-3686

Interoperability endpoints

  • Direct secure messaging: stephen.vannucci.1@15385.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1255405783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 MANGROVE AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263509",
            "telephone_number": "530-345-0064",
            "fax_number": "530-345-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 COHASSET RD",
            "address_2": "SUITE 230",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262241",
            "telephone_number": "530-342-3686",
            "fax_number": "530-342-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNUCCI",
        "first_name": "STEPHEN",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A71303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.