Active NPI
Larry Napolitano Jr.
- Dermatology Physician
- Shelby, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2018-02490
- Practice address
- 105 Delta Park Dr
Shelby, NC 28150 - Phone
- (704) 484-0464
- Fax
- (704) 482-0308
- NPI assigned
- Apr 3, 2015
- 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 | 2018-02490 | NC | Primary |
Addresses
Primary practice location
105 Delta Park Dr
Shelby, NC 28150
Mailing address
1072 X Ray Dr
Gastonia, NC 28054-7498
Phone (704) 671-1094
Other practice location 1
2200 Jefferson Ave
Toledo, OH 43604-7101
Phone (419) 251-1395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Delta Park Dr
Shelby, NC 28150-3575
Phone 7046711094101
1700 1St Baxter Xing
Suite 101
Fort Mill, SC 29708-8950
Phone (803) 802-3376
959 Cox Rd
Gastonia, NC 28054-3420
Phone (704) 866-0106
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.65 of 100
- Quality
- 91.92
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 78.58
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 321 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 3274 |
| Skin biopsy | 1726 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-02490 | NC | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology of SC PC | Dermatology | Current | Accepting new patients |
| Piedmont Plastic Surgery and Dermatology | Dermatology | Past | Accepting new patients |
Locations
908 Smithfield Way
Ste 101
Fort Mill, SC 29715
Phone (803) 220-2782
1700 1st Baxter Xing
Ste 101
Fort Mill, SC 29708
Phone (803) 802-3376
1650 Skylyn Dr
Ste 402
Spartanburg, SC 29307
Phone (864) 574-0017
Organizations & group practices 3
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.
-
- Dermatology Physician
- Spartanburg, SC
- NPI 1255754008
-
- Dermatology Physician
- Gastonia, NC
- NPI 1801832837
-
- Dermatology Physician
- Shelby, NC
- NPI 1316056104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1487049656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1072 X RAY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547498",
"telephone_number": "704-671-1094",
"fax_number": "704-671-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 DELTA PARK DR",
"city": "SHELBY",
"state": "NC",
"postal_code": "28150",
"telephone_number": "704-484-0464",
"fax_number": "704-482-0308"
}
],
"practiceLocations": [
{
"address_1": "2200 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436047101",
"country_code": "US",
"telephone_number": "419-251-1395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAPOLITANO",
"first_name": "LARRY",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-03",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "2018-02490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.