Individual provider Active NPI

Indre Besasparyte Doyle, CRNP

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1417320581
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC001663 Issued in MD
Practice address
1415 S Division St
Suite a, Peninsula Regional Endocrinology
Salisbury, MD 21804-7291
Phone
(410) 572-8848
Fax
(410) 572-6890
NPI assigned
Nov 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC001663 MD Primary

Addresses

Primary practice location

1415 S Division St
Suite a, Peninsula Regional Endocrinology
Salisbury, MD 21804-7291

Mailing address

1415 S Division St
Suite a, Peninsula Regional Endocrinology
Salisbury, MD 21804-7291
Phone (410) 572-8848

Other names 1

  • Indre Besasparyte Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160113000311 MD Practitioner - Nurse Practitioner 0941502645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians

Practice addresses (Care Compare)

314 Franklin Ave
Suite 108
Berlin, MD 21811-1236
Phone (410) 912-6023

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.92 of 100Reported as group
Quality
74.47
Promoting interoperability
92
Improvement activities
40
Cost
75.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Nov 30, 2015 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Family CurrentSince Nov 30, 2015 Accepting new patients
Tidalhealth Specialty Care, LLC Past Accepting new patients

Locations

314 Franklin Ave
Ste 108
Berlin, MD 21811
Phone (410) 641-0182

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

1415 S Division St
Ste A
Salisbury, MD 21804
Phone (410) 572-8848

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

1639 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 543-7475

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1417320581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 S DIVISION ST",
            "address_2": "SUITE A, PENINSULA REGIONAL ENDOCRINOLOGY",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047291",
            "telephone_number": "410-572-8848",
            "fax_number": "410-572-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S DIVISION ST",
            "address_2": "SUITE A, PENINSULA REGIONAL ENDOCRINOLOGY",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047291",
            "telephone_number": "410-572-8848",
            "fax_number": "410-572-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "INDRE",
        "middle_name": "BESASPARYTE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC001663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDRE",
            "last_name": "BESASPARYTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.