Individual provider Active NPI

Jose Luis Piscoya, MD

  • Surgery Physician
  • Burlington, NC
National Provider Identifier
1578723102
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
201100287 Issued in NC
Practice address
1041 Kirkpatrick Rd Ste 150
Burlington, NC 27215-8068
Phone
(336) 538-1888
NPI assigned
Jun 17, 2008
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 201100287 NC Primary

Addresses

Primary practice location

1041 Kirkpatrick Rd Ste 150
Burlington, NC 27215-8068

Mailing address

1236 Huffman Mill Rd Ste 2900
Burlington, NC 27215-8700
Phone (336) 585-2153

Other practice location 1

3940 Arrowhead Blvd Ste 230
Mebane, NC 27302-7637
Phone (336) 585-2153

Other practice location 2

1236 Huffman Mill Rd Ste 2900
Burlington, NC 27215
Phone (336) 585-2153

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpiscoya392023@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20171107001988 NC Practitioner - General Surgery 0345506317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1041 Kirkpatrick Rd
Suite 150
Burlington, NC 27215-8068
Phone (336) 538-1888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201100287NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Single Specialty Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Apr 1, 2019 Accepting new patients
Cornerstone Medical Center, PA Single Specialty Current Accepting new patients
Moses Cone Physician Services, Inc. Surgery Past Accepting new patients

Locations

1041 Kirkpatrick Rd
Ste 100
Burlington, NC 27215
Phone (336) 538-0089

1041 Kirkpatrick Rd
Ste 150
Burlington, NC 27215
Phone (336) 538-1888

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

3940 Arrowhead Blvd
Ste 230
Mebane, NC 27302
Phone (336) 227-2761

Interoperability endpoints

  • Direct secure messaging: jpiscoya392023@direct.conehealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1578723102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 HUFFMAN MILL RD STE 2900",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158700",
            "telephone_number": "336-585-2153",
            "fax_number": "336-585-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 KIRKPATRICK RD STE 150",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158068",
            "telephone_number": "336-538-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3940 Arrowhead Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Mebane",
            "state": "NC",
            "postal_code": "273027637",
            "country_code": "US",
            "telephone_number": "336-585-2153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1236 Huffman Mill Rd Ste 2900",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "27215",
            "country_code": "US",
            "telephone_number": "336-585-2153",
            "fax_number": "336-585-2154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISCOYA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "201100287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpiscoya392023@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "cone health direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1041 Kirkpatrick Rd Ste 150",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272158068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.