NPIMap

Individual provider Active NPI

Vincent J Pisciotta, M.D.

  • Specialist
  • Gulfport, MS
National Provider Identifier
1649206392
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15334 Issued in MS
Practice address
15190 Community Rd
Suite 100
Gulfport, MS 39503-3485
Phone
(228) 388-4585
Fax
(228) 385-7610
NPI assigned
Jun 24, 2006
Last updated
Jun 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15334 MS Primary

Addresses

Primary practice location

15190 Community Rd
Suite 100
Gulfport, MS 39503-3485

Mailing address

PO Box 7237
Gulfport, MS 39506-7237
Phone (228) 388-4585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822000735 MS Practitioner - Otolaryngology 9931179959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in New Orleans, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15190 Community Rd
Suite 100
Gulfport, MS 39503-3484
Phone (228) 539-3824

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, PLLC Specialist CurrentSince Apr 22, 1998 Accepting new patients

Locations

970 Tommy Munro Dr
Ste B
Biloxi, MS 39532
Phone (228) 388-4585

15190 Community Rd
Ste 100
Gulfport, MS 39503
Phone (228) 388-4585

3704 Bienville Blvd
#A
Ocean Springs, MS 39564

Interoperability endpoints

  • Direct secure messaging: vpisciotta@direct.mhg.com

Organizations & group practices 1

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 63

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 63

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1649206392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7237",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395067237",
            "telephone_number": "228-388-4585",
            "fax_number": "228-385-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 COMMUNITY RD",
            "address_2": "SUITE 100",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033485",
            "telephone_number": "228-388-4585",
            "fax_number": "228-385-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISCIOTTA",
        "first_name": "VINCENT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "15334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.