Individual provider Active NPI

Jonathan Shea Diruzzo, MD

  • Anesthesiology Physician
  • Stockbridge, GA
National Provider Identifier
1720269699
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
66280 Issued in GA
Practice address
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone
(678) 604-1053
NPI assigned
Nov 20, 2007
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0000046012 TN
Anesthesiology Physician 207L00000X 296382 NY
Anesthesiology Physician 207L00000X 66280 GA Primary

Addresses

Primary practice location

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085

Mailing address

860 Peachtree St NE Unit 2009
Atlanta, GA 30308-1278
Phone (404) 354-8148

Other practice location 1

2215 Burdett Ave
Troy, NY 12180-2475
Phone (518) 525-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY2 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
I20110921000128 GA Practitioner - Anesthesiology 4486848884 Reassigns benefits to 2 organizations
I20181116001954 NY Practitioner - Anesthesiology 4486848884 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at San Antonio, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U of R Anesthesiology GroupGroup PAC ID 3476451105, 340 clinicians
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

Practice addresses (Care Compare)

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2141

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
296382NYMDAnesthesiology Physician
0000046012TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of New York, P.C. Anesthesiology CurrentSince Nov 1, 2018 Accepting new patients
Georgia Group Services, LLC Anesthesiology Current Accepting new patients
Ams Southeast LLC Anesthesiology CurrentSince Apr 7, 2018 Accepting new patients
Resource Anesthesiology Associates,PC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
U of R Anesthesiology Group Anesthesiology CurrentSince Oct 20, 2025 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Aug 23, 2024 Accepting new patients
Tift Regional Health System Inc CurrentSince Jul 2, 2018 Accepting new patients
Tift Regional Health System Inc CurrentSince Jul 2, 2018 Accepting new patients
Georgia Group Services, LLC Anesthesiology CurrentSince Oct 1, 2014 Accepting new patients
Henry Anesthesia Associates LLC Anesthesiology Past Accepting new patients

Locations

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

830 Eagles Landing Pkwy
Ste 101
Stockbridge, GA 30281
Phone (402) 779-6135

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

7 Southwoods Blvd
Ste 4
Albany, NY 12211

88 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 591-8400

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

475 Irving Ave
Syracuse, NY 13210
Phone (315) 234-9679

5801 E Taft Rd
Syracuse, NY 13212
Phone (315) 418-4140

725 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: jdiruzzo2359684@direct.trinity-health.org
  • Direct secure messaging: jdiruzzo582446@direct.urmc.rochester.edu

Organizations & group practices 10

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 4

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": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1720269699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 PEACHTREE ST NE UNIT 2009",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081278",
            "telephone_number": "404-354-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815085",
            "telephone_number": "678-604-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802475",
            "country_code": "US",
            "telephone_number": "518-525-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIRUZZO",
        "first_name": "JONATHAN",
        "middle_name": "SHEA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "0000046012",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "296382",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "66280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.