Active NPI
John Romeo Mansueti, M.D.
- Radiation Oncology Physician
- Berlin, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 0101228433
- Practice address
- 11105 Cathage Rd
Berlin, MD 21811-2131 - Phone
- (410) 912-4966
- Fax
- (410) 912-5967
- NPI assigned
- Aug 9, 2005
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 0101228433 | VA | Primary |
Addresses
Primary practice location
11105 Cathage Rd
Berlin, MD 21811-2131
Mailing address
PO Box 418837
Boston, MA 02241-8837
Phone (607) 324-2340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Carroll St
Salisbury, MD 21801-5422
Phone (888) 846-5527
11340 Pembrooke SQ
Suite 201
Waldorf, MD 20603-4808
Phone (301) 705-5802
701 Middleford Rd
Seaford, DE 19973-3600
Phone (302) 628-6344
Hospital & facility affiliations
- Tidalhealth Peninsula Regional, Inc
- Tidalhealth Nanticoke, Inc.
- Atlantic General Hospital
- Riverside Shore Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101228433 | VA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Radiation Medicine of Delaware LLC | Radiation Oncology | Current | Accepting new patients |
| Associates in Radiation Medicine, PC | Radiation Oncology | Current | Accepting new patients |
| Tidalhealth Specialty Care, LLC | Past | Accepting new patients |
Locations
701 Middleford Rd
Seaford, DE 19973
Phone (302) 628-6344
11105 Cathage Rd
Berlin, MD 21811
Phone (410) 641-9962
4901 Tesla Dr
Ste Ab
Bowie, MD 20715
4831 Tesla Dr
Ste Ac
Bowie, MD 20715
Phone (301) 805-6860
30077 Business Center Dr
Charlotte Hall, MD 20622
Phone (301) 884-2508
20330 Seneca Meadows Pkwy
Ste B
Germantown, MD 20876
8116 Good Luck Rd
Ste LL5
Lanham, MD 20706
Phone (240) 542-3060
9905 Medical Center Dr
Ste 100
Rockville, MD 20850
Phone (240) 826-6297
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
2121 Medical Park Dr
Ste 4
Silver Spring, MD 20902
Phone (301) 681-4422
11340 Pembrooke Sq
Ste 201
Waldorf, MD 20603
Phone (301) 705-5802
11006 Veirs Mill Rd
Wheaton, MD 20902
Phone (240) 489-6262
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Physician
- Seaford, DE
- NPI 1225664030
-
- Adult Mental Health Clinic/Center
- Salisbury, MD
- NPI 1962027094
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atlantic General Hospital Corp
- General Acute Care Hospital
- Berlin, MD
- NPI 1053309120
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
-
dba Riverside Shore Memorial Hospital
- Rural Acute Care Hospital
- Onancock, VA
- NPI 1619076916
-
- General Acute Care Hospital
- Seaford, DE
- NPI 1245214477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1699776955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 418837",
"city": "BOSTON",
"state": "MA",
"postal_code": "022418837",
"telephone_number": "607-324-2340",
"fax_number": "607-324-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11105 CATHAGE RD",
"city": "BERLIN",
"state": "MD",
"postal_code": "218112131",
"telephone_number": "410-912-4966",
"fax_number": "410-912-5967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSUETI",
"first_name": "JOHN",
"middle_name": "ROMEO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "VA",
"license": "0101228433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.