NPIMap

Individual provider Active NPI

Julian M. Ngo, D.O.

  • MOHS-Micrographic Surgery Physician
  • Carlisle, PA
National Provider Identifier
1689989675
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
OS017070 Issued in PA
Practice address
19 Sprint Dr
Suite 1
Carlisle, PA 17015-7002
Phone
(717) 701-8251
Fax
(717) 701-8289
NPI assigned
Aug 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X OS017070 PA Primary

Addresses

Primary practice location

19 Sprint Dr
Suite 1
Carlisle, PA 17015-7002

Mailing address

19 Sprint Drive
Suite 1
Carlisle, PA 17015-7002
Phone (717) 701-8251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150521002553 PA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 6800875071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carlisle Dermatology GroupGroup PAC ID 4789904426, 3 clinicians

Practice addresses (Care Compare)

41 Eastgate Dr
Carlisle, PA 17015-6902
Phone (717) 701-8251

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.54 of 100Reported as group
Quality
90.16
Promoting interoperability
100
Improvement activities
40
Cost
91.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision140
Removal of skin lesions3620
Removal of skin cancer288
Removal or shaving of skin growth11
Skin biopsy1082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carlisle Dermatology Group Mohs-Micrographic Surgery CurrentSince Mar 30, 2015 Accepting new patients
Virginias Dermatology, Inc. Past Accepting new patients

Locations

19 Sprint Dr
Ste 1
Carlisle, PA 17015
Phone (717) 701-8251

41 Eastgate Dr
Carlisle, PA 17015
Phone (717) 701-8251

Organizations & group practices 2

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1689989675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SPRINT DRIVE",
            "address_2": "SUITE 1",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157002",
            "telephone_number": "717-701-8251",
            "fax_number": "717-701-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SPRINT DR",
            "address_2": "SUITE 1",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157002",
            "telephone_number": "717-701-8251",
            "fax_number": "717-701-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "JULIAN",
        "middle_name": "M.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-13",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "OS017070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.