Individual provider Active NPI

John P. Visioli, D.O.

  • Internal Medicine Physician
  • Salisbury, MD
National Provider Identifier
1629177498
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0059368 Issued in MD
Practice address
509 Calloway St
Salisbury, MD 21804-3200
Phone
(877) 222-4934
NPI assigned
Sep 21, 2006
Last updated
Dec 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
400456600MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
H0059368MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Nov 1, 2003 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 PastSince Dec 3, 2023 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.

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

Verify at the official NPI Registry.