John Crisologo, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

24000 Issued in SC

Practice address

Beaufort Memorial Lowcountry Medical Group
300 Midtown Drive
Beaufort, SC 29906-5200

Phone

(843) 770-0404

Fax

(844) 296-2309

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Gastroenterology

Education

University of Cincinnati College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
• Hampton Regional Medical Center Hospital, Varnville, SC, CCN 420072

Merit-based Incentive Payment System (MIPS)

Final score

86.95 of 100Reported as group

Quality

83.15

Promoting interoperability

100

Improvement activities

40

Cost

73.35

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.crisologo.1@16436.direct.athenahealth.com

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.

• Beaufort County Memorial Hospital

  • Emergency Medicine Physician
  • Beaufort, SC
  • NPI 1871335018

  SC

  Medicare reassignment Care Compare group NPD
• Beaufort County Memorial Hospital

  • Obstetrics & Gynecology Physician
  • Beaufort, SC
  • NPI 1235552746
  NPD
• Beaufort County Memorial Hospital

  • Certified Registered Nurse Anesthetist
  • Beaufort, SC
  • NPI 1467423178
  NPD (past)

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

• Beaufort County Memorial Hospital

  • General Acute Care Hospital
  • Beaufort, SC
  • NPI 1366436073

  Hospital

  Care Compare affiliation
• Hampton Regional Medical Center

  • Rural Acute Care Hospital
  • Varnville, SC
  • NPI 1487651949

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1720158843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "address_2": "BMAC CREDENTIALING",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "843-522-5674",
            "fax_number": "843-522-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP",
            "address_2": "300 MIDTOWN DRIVE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299065200",
            "telephone_number": "843-770-0404",
            "fax_number": "844-296-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISOLOGO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "24000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T81480",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Cozart, MD
• Jennifer Hill Craft, RD, LD, CDE
• David Merrill Craig, DDS
• Richard Kenneth Craner, OTR/L
• Floyd Ashton Cribbs, M.D.
• Charles Burleson Crockett
• Christina R. Crosby, CRNA
• Lana Jean Crosby, PT
• Raymond Cross, PT DPT
• Susan Cross, RN

• All providers in Beaufort, SC
• Gastroenterology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.

Verify at the official NPI Registry.