Active NPI
John P. Visioli, D.O.
- Internal Medicine Physician
- Salisbury, MD
National Provider Identifier
1629177498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H0059368
- Practice address
- 509 Calloway St
Salisbury, MD 21804-3200 - Phone
- (877) 222-4934
- NPI assigned
- Sep 21, 2006
- Last updated
- Dec 21, 2012
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H0059368 | MD | Primary |
Addresses
Primary practice location
509 Calloway St
Salisbury, MD 21804-3200
Mailing address
509 Calloway St
Salisbury, MD 21804-3200
Phone (877) 222-4934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400456600 | Medicaid | MD |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040316000429 | MD | Practitioner - Internal Medicine | 0244120210 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0059368 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockingham Medical & Kidney Care,PLLC | Past | Accepting new patients | |
| State of New Jersey Omb Centralized Payroll | Past | Accepting new patients | |
| John P. Visioli,D.O, P.a. | Internal Medicine | Past | Accepting new patients |
| Fernando Acle, M.D., P.a. | Internal Medicine | Past | Accepting new patients |
| DRS Morres Gianelle Goertzen & Assoc PA | Past | Accepting new patients | |
| Hypertension & Kidney Specialist, PC | Past | Accepting new patients |
Organizations & group practices 6
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.
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- Salisbury, MD
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1629177498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 CALLOWAY ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218043200",
"telephone_number": "877-222-4934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 CALLOWAY ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218043200",
"telephone_number": "877-222-4934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISIOLI",
"first_name": "JOHN",
"middle_name": "P.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "H0059368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400456600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.