Individual provider Active NPI

Nicholas Bisconti Jr., MD

  • Specialist
  • Canton, OH
National Provider Identifier
1346372828
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35054433 Issued in OH
Practice address
2600 Seventh St SW
Canton, OH 44710-1709
Phone
(330) 453-4300
Fax
(330) 453-3617
NPI assigned
Mar 11, 2007
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35054433 OH Primary

Addresses

Primary practice location

2600 Seventh St SW
Canton, OH 44710-1709

Mailing address

PO Box 80690
Canton, OH 44708-0690
Phone (330) 363-7444

Other identifiers 1

IdentifierTypeStateIssuer
0787402MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080318000869 OH Practitioner - General Surgery 9830275700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northeastern Ohio University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Specialty Physicians CorporationGroup PAC ID 3476643479, 67 clinicians

Practice addresses (Care Compare)

2600 Tuscarawas St W
Suite 540
Canton, OH 44708-4699
Phone (330) 454-0350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
77.5
Promoting interoperability
98
Improvement activities
40
Cost
74.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)11
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35054433OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Specialty Physicians Corporation CurrentSince Jan 1, 2022 Accepting new patients
Aultman Hospital Current Accepting new patients
Ohio Specialty Physicians Corporation CurrentSince Jan 1, 2022 Accepting new patients
Orrville Hospital Foundation Past Accepting new patients

Locations

270 E State St
Ste 120
Alliance, OH 44601
Phone (330) 453-4300

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 Tuscarawas St W
Ste 520
Canton, OH 44708
Phone (330) 454-0702

2600 Tuscarawas St W
Ste 540
Canton, OH 44708
Phone (330) 363-6281

2600 Tuscarawas St W
Ste 600
Canton, OH 44708
Phone (330) 453-4300

6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200

830 S Main St
Ste 101
Orrville, OH 44667
Phone (330) 438-6333

Interoperability endpoints

  • Direct secure messaging: nicholas.bisconti@direct.aultman.org

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 2

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": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1346372828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80690",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447080690",
            "telephone_number": "330-363-7444",
            "fax_number": "330-363-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SEVENTH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101709",
            "telephone_number": "330-453-4300",
            "fax_number": "330-453-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISCONTI",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35054433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0787402",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.