Active NPI
John Joseph De Caro, MD
- Urology Physician
- Lansdale, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD463353
- Practice address
- 125 Medical Campus Dr Ste 305
Lansdale, PA 19446-7205 - Phone
- (215) 361-2304
- NPI assigned
- Jun 3, 2008
- Last updated
- Jul 14, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 074725 | GA | |
| Urology Physician | 208800000X | MD463353 | PA | Primary |
Addresses
Primary practice location
125 Medical Campus Dr Ste 305
Lansdale, PA 19446-7205
Mailing address
2500 Maryland Rd Ste 400
Willow Grove, PA 19090-1225
Phone (215) 481-4143
Other practice location 1
711 Lawn Ave Ste 2
Sellersville, PA 18960-1575
Phone (215) 257-1050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Stanford University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Glenlake Pkwy
Atlanta, GA 30328-3473
Phone (770) 677-6043
3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206
3650 Steve Reynolds Blvd
Duluth, GA 30096-4506
Phone (770) 931-6026
750 Townpark LN NW
Kennesaw, GA 30144-5579
Phone (770) 514-5405
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD463353 | PA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| The Southeast Permanente Medical Group | Urology | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
Urology
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Family Medicine - Suite 101
- Family Medicine Physician
- Chambersburg, PA
- NPI 1194431676
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory Decatur Hospital
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1366601585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 MARYLAND RD STE 400",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901225",
"telephone_number": "215-481-4143",
"fax_number": "215-481-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 MEDICAL CAMPUS DR STE 305",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194467205",
"telephone_number": "215-361-2304"
}
],
"practiceLocations": [
{
"address_1": "711 Lawn Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Sellersville",
"state": "PA",
"postal_code": "189601575",
"country_code": "US",
"telephone_number": "215-257-1050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE CARO",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-03",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "074725",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD463353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.