Individual provider Active NPI

Philip James Zitello, M.D.

  • Anesthesiology Physician
  • Hilton Head Island, SC
National Provider Identifier
1376595595
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
19791 Issued in SC
Practice address
222 Pembroke Dr
Building C
Hilton Head Island, SC 29926-6201
Phone
(843) 682-2345
Fax
(843) 682-2343
NPI assigned
May 16, 2006
Last updated
Feb 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 19791 SC Primary
Interventional Pain Medicine Physician 208VP0014X 19791 SC

Addresses

Primary practice location

222 Pembroke Dr
Building C
Hilton Head Island, SC 29926-6201

Mailing address

222 Pembroke Dr
Building C
Hilton Head Island, SC 29926-6201
Phone (843) 682-2345

Other identifiers 1

IdentifierTypeStateIssuer
197913MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040305000125 SC Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 8921995036 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC CurrentSince Jun 1, 2024 Accepting new patients
York County Anesthesia Associates LLC Anesthesiology CurrentSince Apr 3, 2023 Accepting new patients
Hilton Head Anesthesia, PA Anesthesiology Past Accepting new patients

Locations

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

25 Hospital Ctr
Ste 306
Hilton Head Island, SC 29926
Phone (843) 681-2074

164 Glenwood Dr
Rock Hill, SC 29732
Phone (803) 325-9010

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

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, 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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1376595595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PEMBROKE DR",
            "address_2": "BUILDING C",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266201",
            "telephone_number": "843-682-2345",
            "fax_number": "843-682-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PEMBROKE DR",
            "address_2": "BUILDING C",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266201",
            "telephone_number": "843-682-2345",
            "fax_number": "843-682-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITELLO",
        "first_name": "PHILIP",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "19791",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "19791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197913",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.