Individual provider Active NPI

Laura Corsini, M.D.

  • Dermatology Physician
  • Alexandria, VA
National Provider Identifier
1376957563
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101265201 Issued in VA
Practice address
1900 N Beauregard St Ste 110
Alexandria, VA 22311-1716
Phone
(570) 447-1813
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD478646 PA
Dermatology Physician 207N00000X 0101265201 VA Primary

Addresses

Primary practice location

1900 N Beauregard St Ste 110
Alexandria, VA 22311-1716

Mailing address

744 Lancaster Ave Ste 230
Wayne, PA 19087-2551
Phone (610) 688-8750

Other practice location 1

744 Lancaster Ave Ste 230
Wayne, PA 19087-2551
Phone (610) 688-8750

Other names 1

  • Laura Odorizzi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220907000220 PA Practitioner - Dermatology 9537413703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John K. Wildemore, MD, LLCGroup PAC ID 5698775104, 4 clinicians

Practice addresses (Care Compare)

744 Lancaster Ave
Suite 230
Wayne, PA 19087-2551
Phone (610) 688-8750

Merit-based Incentive Payment System (MIPS)

Final score
92.44 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
74.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1232
Removal or shaving of skin growth14
Skin biopsy399

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD478646PAMDDermatology Physician
0101265201VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John K. Wildemore, MD, LLC Dermatology CurrentSince Oct 21, 2022 Accepting new patients

Locations

744 Lancaster Ave
Ste 230
Wayne, PA 19087
Phone (610) 688-8750

Interoperability endpoints

  • Direct secure messaging: lcorsini25273@direct.utmsa.com

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1376957563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 LANCASTER AVE STE 230",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872551",
            "telephone_number": "610-688-8750",
            "fax_number": "610-688-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N BEAUREGARD ST STE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111716",
            "telephone_number": "570-447-1813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 Lancaster Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "PA",
            "postal_code": "190872551",
            "country_code": "US",
            "telephone_number": "610-688-8750",
            "fax_number": "610-688-8751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORSINI",
        "first_name": "LAURA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD478646",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101265201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ODORIZZI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.