Michele Nicole Fiorentino, M.D.
Individual provider Active NPI Surgery Physician · Newark, DE
NPI 1275928145 · NPPES record last updated Aug 30, 2024
Key facts
- NPI
- 1275928145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- C1-0027189 (DE)
- Practice address
- 4735 Ogletown Stanton Rd Ste 3301
Newark, DE 19713-7021 - Phone
- (302) 623-4370
- Fax
- (302) 623-4375
- NPI assigned
- Mar 30, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Drexel University College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christiana Care Health Services Inc
Practice addresses (Care Compare)
4735 Ogletown Stanton Rd
Suite 3301
Newark, DE 19713-7021
Phone (302) 623-4370
Hospital & facility affiliations
- Christiana Hospital
- Union Hospital of Cecil County
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240913000023 | DE | Practitioner - General Surgery | 7315301082 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68115 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Surgery | Current |
Accepting new patients |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current |
Accepting new patients | |
| Christiana Care Health Services, Inc. | Past | Accepting new patients | |
| Christiana Care Health Services, Inc | Past | Accepting new patients |
Locations
4735 Ogletown Stanton Rd
Ste 3301
Newark, DE 19713
Phone (302) 623-4370
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343
501 W 14th St
#4154
Wilmington, DE 19801
Phone (302) 428-4175
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411
Interoperability endpoints
- mfiorentino720029@direct.vumc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 68115 | TN | |
| Surgery Physician | 208600000X | C1-0027189 | DE | Yes |
Addresses
Primary practice location
4735 Ogletown Stanton Rd Ste 3301
Newark, DE 19713-7021
Mailing address
766 Tory Hollow Rd
Berwyn, PA 19312-1154
Other practice location 1
3601 The Vanderbilt Clinic
Nashville, TN 37232-2757
Phone (615) 322-3000
Other practice location 2
185 S Orange Ave # Msbg-538
Newark, NJ 07103-2757
Phone (610) 291-8662
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mfiorentino720029@direct.vumc.org | Direct |
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.