Individual provider Active NPI

Nunzio Peter Pagano II, DO

  • Internal Medicine Physician
  • Asheville, NC
National Provider Identifier
1346539871
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2015-00900 Issued in NC
Practice address
60 Livingston St
Suite 200
Asheville, NC 28801-4402
Phone
(828) 253-4851
Fax
(828) 252-1969
NPI assigned
Apr 5, 2011
Last updated
Jun 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 2711 WV
Internal Medicine Physician 207R00000X 2015-00900 NC Primary

Addresses

Primary practice location

60 Livingston St
Suite 200
Asheville, NC 28801-4402

Mailing address

60 Livingston St
Suite 200
Asheville, NC 28801-4402
Phone (828) 253-4851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150728006122 NC Practitioner - Internal Medicine 5092930149
I20221209001741 FL Practitioner - Internal Medicine 5092930149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

55 Piney Mountain Dr
Asheville, NC 28805-1297
Phone (828) 252-1915

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015-00900NCMDInternal Medicine Physician
2711WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Inc CurrentSince Nov 1, 2022 Accepting new patients
Emergency Physicians Inc CurrentSince Nov 1, 2022 Accepting new patients

Locations

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000

Interoperability endpoints

  • Direct secure messaging: nunzio-pagano@avlintmed.e-mdsdirect.com
  • Direct secure messaging: nunzio.pagano.1@20088.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1346539871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LIVINGSTON ST",
            "address_2": "SUITE 200",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014402",
            "telephone_number": "828-253-4851",
            "fax_number": "828-252-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LIVINGSTON ST",
            "address_2": "SUITE 200",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014402",
            "telephone_number": "828-253-4851",
            "fax_number": "828-252-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "NUNZIO",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "2711",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2015-00900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.