Stephen F. D'Addario, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

6544 Issued in TN

Practice address

190D Saundersville Rd Ste 2005
Hendersonville, TN 37075-1008

Phone

(629) 240-8588

Fax

(615) 851-7760

NPI assigned

Jun 6, 2006

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

State University of Ny Upstate Medical University, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cumberland Skin Surgery and DermatologyGroup PAC ID 0941391338, 55 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.25 of 100Reported as group

Promoting interoperability

85

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

89.8 of 100Reported as group

Promoting interoperability

88

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cumberland Skin Surgery and Dermatology

  • Medical Specialty Clinic/Center
  • Lebanon, TN
  • NPI 1922138247
  Medicare reassignment Care Compare group NPD
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  Mohs-Micrographic Surgery, TN

  Medicare reassignment NPD
• Pinnacle Dermatology, SC

  dba Pinnacle Dermatology, Clarksville

  • Non-Pharmacy Dispensing Site
  • Clarksville, TN
  • NPI 1245901941
  NPD
• Advanced Sleep Consultants of Middle TN, Inc

  • Medical Specialty Clinic/Center
  • Lebanon, TN
  • NPI 1912048307
  NPD (past)
• Benedetto Dermatology, LLC

  • MOHS-Micrographic Surgery Physician
  • Philadelphia, PA
  • NPI 1972771129
  NPD (past)
• Benedetto Dermatology,LLC

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
  • NPI 1811938863
  NPD (past)
• Oakview Dermatology

  • Dermatology Physician
  • Rock Hill, SC
  • NPI 1942844667
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1386683290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 CENTRAL PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763494",
            "telephone_number": "815-744-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190D SAUNDERSVILLE RD STE 2005",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751008",
            "telephone_number": "629-240-8588",
            "fax_number": "615-851-7760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Clear Sky Ct",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370438948",
            "country_code": "US",
            "telephone_number": "931-444-5040",
            "fax_number": "931-444-5041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'ADDARIO",
        "first_name": "STEPHEN",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OH",
            "license": "35090328",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OH",
            "license": "35.090328",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AR",
            "license": "E-6763",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TN",
            "license": "6544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2780629",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cumberland Og-GYN PLLC
• Courtney Elyse Cummings, PSY.D.
• Angela Rose Currie, M.A.
• Seena Maria Ferrari Curry, RDN, LDN
• Terry R Curtis, MD
• Rhonda Lee D'Imperio, PH.D.
• Jessica Dahle-Hernandez, PT
• Viviane F Daigle
• Anthony Vernon Dallas Jr., M.D.
• Scott Dalrymple, PA-C

• MOHS-Micrographic Surgery Physician in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• MOHS-Micrographic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.

Verify at the official NPI Registry.