Emile Anthony Picarella Jr., MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

20017 Issued in MS

Practice address

160 Fountains Blvd Ste B
Madison, MS 39110-6343

Phone

(601) 981-2525

Fax

(601) 981-3152

NPI assigned

May 25, 2007

Last updated

Nov 19, 2018By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: epicarella5328439@direct.casso.us.com

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.

• Mississippi Premier Plastic Surgery, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Madison, MS
  • NPI 1639320864
  Medicare reassignment NPD
• Premier Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Madison, MS
  • NPI 1093214819
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1467663906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 FOUNTAINS BLVD STE B",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106343",
            "telephone_number": "601-981-2525",
            "fax_number": "601-981-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FOUNTAINS BLVD STE B",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106343",
            "telephone_number": "601-981-2525",
            "fax_number": "601-981-3152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "971 Lakeland Dr",
            "address_2": "Suite 315",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164643",
            "country_code": "US",
            "telephone_number": "601-981-2525",
            "fax_number": "601-981-3152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICARELLA",
        "first_name": "EMILE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MS",
            "license": "20017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07189871",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine P. Phillippi, M.D.
• Deirdre M. Phillips, M.D.
• Denise E Phillips, MD
• Laura Polk Phillips, CRNA
• Kristen Phipps
• Benjamin Pickard, DPT
• Jennifer Pierce
• Pioneer Pediatrics, LLC
• Morgan C Pitts, BSN, RN
• Lisa B Poe, OTR/L

• Plastic and Reconstructive Surgery Physician in Madison, MS
• Providers in Madison, MS by specialty
• Plastic and Reconstructive Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.