Active NPI
Joseph Pietrangelo, M.D.
- Dermatology Physician
- Germantown, TN
National Provider Identifier
1376800979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 54195
- Practice address
- 8000 Wolf River Blvd Ste 100
Germantown, TN 38138-1756 - Phone
- (901) 579-7395
- Fax
- (901) 425-9813
- NPI assigned
- Apr 19, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 54195 | TN | Primary |
Addresses
Primary practice location
8000 Wolf River Blvd Ste 100
Germantown, TN 38138-1756
Mailing address
8000 Wolf River Blvd Ste 100
Germantown, TN 38138-1756
Phone (901) 579-7395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160714000647 | TN | Practitioner - Dermatology | 0345488391 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Tennessee, HSC, College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Germantown Dermatology LLC
Practice addresses (Care Compare)
8000 Wolf River Blvd
Suite 100
Germantown, TN 38138-1756
Phone (901) 579-7395
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.3 of 100
- Quality
- 90.6
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 30 |
| Removal of skin lesions | 797 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 333 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54195 | TN | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Germantown Dermatology LLC | Dermatology | Current | Accepting new patients |
Locations
8000 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 579-7395
Organizations & group practices 1
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": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1376800979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 WOLF RIVER BLVD STE 100",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381756",
"telephone_number": "901-579-7395",
"fax_number": "901-425-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 WOLF RIVER BLVD STE 100",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381756",
"telephone_number": "901-579-7395",
"fax_number": "901-425-9813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETRANGELO",
"first_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-19",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TN",
"license": "54195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.