Individual provider Active NPI

Larry Napolitano Jr.

  • Dermatology Physician
  • Shelby, NC
National Provider Identifier
1487049656
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2018-02490 Issued in NC
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

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190225000002 NC Practitioner - Dermatology 4284926387 Reassigns benefits to 1 organization
I20260106002068 SC Practitioner - Dermatology 4284926387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Plastic Surgery and Dermatology PAGroup PAC ID 6800875188, 56 clinicians
Advanced Dermatology of SC PCGroup PAC ID 4284864372, 32 clinicians

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 100Reported as group
Quality
91.92
Promoting interoperability
94
Improvement activities
40
Cost
78.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision321
Removal of tissue1-10
Removal of skin lesions3274
Skin biopsy1726

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-02490NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of SC PC Dermatology CurrentSince Jan 1, 2026 Accepting new patients
Piedmont Plastic Surgery and Dermatology Dermatology PastSince Feb 15, 2019 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.

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

Verify at the official NPI Registry.