Individual provider Active NPI

Vincent J Perrotta, M.D.

  • Plastic Surgery Physician
  • Salisbury, MD
National Provider Identifier
1720033541
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D47270 Issued in MD
Practice address
314 W Carroll St
Suite 1
Salisbury, MD 21801-5305
Phone
(410) 546-0464
Fax
(410) 546-8529
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X D47270 MD Primary

Addresses

Primary practice location

314 W Carroll St
Suite 1
Salisbury, MD 21801-5305

Mailing address

314 W Carroll St
Suite 1
Salisbury, MD 21801-5305
Phone (410) 546-0464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120503000202 MD Practitioner - Plastic and Reconstructive Surgery 5092792333 Reassigns benefits to 1 organization
I20170223000044 DE Practitioner - Plastic and Reconstructive Surgery 5092792333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Eastern Virginia Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Plastic Surgery P CGroup PAC ID 2769469097, shared by 2 NPIs, 7 clinicians

Practice addresses (Care Compare)

30265 Commerce Dr
Unit 208
Millsboro, DE 19966-3728
Phone (302) 663-0119

314 W Carroll St
Suite 1
Salisbury, MD 21801-5409
Phone (410) 546-0464

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061

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
Mastectomy15
Melanoma (skin cancer) excision148
Removal of tissue11
Removal or shaving of skin growth1-10
Skin biopsy209

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Plastic Surgery P.C. Plastic Surgery CurrentSince Jul 1, 1997 Accepting new patients
Peninsula Plastic Surgery, P.C. CurrentSince Jul 1, 1997 Accepting new patients
Peninsula Plastic Surgery P C CurrentSince Dec 28, 2016 Accepting new patients
Peninsula Plastic Surgery, P.C. Past Accepting new patients
The Center for Aesthetic Surgery LLC PastSince Aug 31, 2004 Accepting new patients

Locations

30265 Commerce Dr
Unit 208
Millsboro, DE 19966
Phone (302) 663-0119

124 N Main St
Ste D
Berlin, MD 21811
Phone (410) 546-0464

314 W Carroll St
Ste 1
Salisbury, MD 21801
Phone (410) 546-0464

Interoperability endpoints

  • Direct secure messaging: vperrotta@directaddress.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1720033541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W CARROLL ST",
            "address_2": "SUITE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015305",
            "telephone_number": "410-546-0464",
            "fax_number": "410-546-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W CARROLL ST",
            "address_2": "SUITE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015305",
            "telephone_number": "410-546-0464",
            "fax_number": "410-546-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERROTTA",
        "first_name": "VINCENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D47270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.