Individual provider Active NPI

Ronald Edward Spillane, M.D.

  • Dermatology Physician
  • Rockville Centre, NY
National Provider Identifier
1295706992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
135394 Issued in NY
Practice address
45 Roxen Rd
Rockville Centre, NY 11570-1514
Phone
(516) 678-0048
Fax
(516) 678-0048
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 135394 NY Primary

Addresses

Primary practice location

45 Roxen Rd
Rockville Centre, NY 11570-1514

Mailing address

45 Roxen Rd
Rockville Centre, NY 11570-1514
Phone (516) 678-0048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060418000145 NY Practitioner - Dermatology 5698784718 Reassigns benefits to 2 organizations
Practice locations: Queens Village, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockville Dermatology, PCGroup PAC ID 1456243476, 5 clinicians

Practice addresses (Care Compare)

2000 N Village Ave
Suite 203
Rockville Centre, NY 11570-1001
Phone (516) 763-1717

45 Roxen Rd
Rockville Centre, NY 11570-1514
Phone (516) 678-0048

Merit-based Incentive Payment System (MIPS)

Final score
99.81 of 100Reported as group
Quality
99.61
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions2626
Removal or shaving of skin growth1-10
Skin biopsy1967

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135394NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockville Dermatology, PC Dermatology CurrentSince Oct 1, 2002 Accepting new patients
Ronald E. Spillane, MD, PC Dermatology CurrentSince Jan 1, 2006 Accepting new patients
Laserderm Dermatology & Cosmetic Laser Surgery CurrentSince Oct 1, 2002 Accepting new patients

Locations

2000 N Village Ave
Ste 203
Rockville Ctr, NY 11570
Phone (516) 763-1717

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295706992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ROXEN RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701514",
            "telephone_number": "516-678-0048",
            "fax_number": "516-678-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ROXEN RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701514",
            "telephone_number": "516-678-0048",
            "fax_number": "516-678-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLANE",
        "first_name": "RONALD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "135394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.