NPIMap

Individual provider Active NPI

Andrew Dionysios Vennos, M.D.

  • Vascular & Interventional Radiology Physician
  • Salisbury, MD
National Provider Identifier
1730199514
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
D0050080 Issued in MD
Practice address
100 E Carroll St
Salisbury, MD 21801-5422
Phone
(410) 543-7369
Fax
(410) 749-1270
NPI assigned
Aug 8, 2006
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0050080 MD
Vascular & Interventional Radiology Physician 2085R0204X D0050080 MD Primary

Addresses

Primary practice location

100 E Carroll St
Salisbury, MD 21801-5422

Mailing address

918 Eastern Shore Dr
Salisbury, MD 21804-6410
Phone (410) 749-1124

Other identifiers 1

IdentifierTypeStateIssuer
228005100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE, PA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101129000225 MD Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4587850821 Reassigns benefits to 4 organizations
I20101227000526 DE Practitioner - Diagnostic Radiology 4587850821 Reassigns benefits to 2 organizations
I20260430001330 PA Practitioner - Diagnostic Radiology 4587850821 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Monongahela Valley Hospital IncGroup PAC ID 0143117606, 41 clinicians
Peninsula Imaging LLCGroup PAC ID 7810968286, 15 clinicians
Delmarva Radiology P aGroup PAC ID 9638068547, 15 clinicians

Practice addresses (Care Compare)

Seaford, DE 19973
Phone 30262966118802

100 E Carroll St
Salisbury, MD 21801-5422

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-3261

1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 997-3470

1655 Woodbrooke Dr
Suite 101
Salisbury, MD 21804-2317
Phone (410) 749-1123

219 S Washington St
University of Maryland Medical Center at Ea
Easton, MD 21601-2913
Phone 41074911245678

26240 Kensington LN
Salisbury, MD 21801-2338
Phone 81423170006764

801 Middleford Rd
Seaford, DE 19973-3636
Phone (302) 629-6611

804 Snow Hill Rd
Salisbury, MD 21804-1938
Phone (410) 912-4976

9733 Healthway Dr
Berlin, MD 21811-1155
Phone (410) 912-4976

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frank Olney & Rudy Nicolas PTRS Diagnostic Radiology CurrentSince Mar 4, 2026 Accepting new patients
Tidalhealth Physician Network, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Jan 20, 2026 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Jan 1, 2026 Accepting new patients
Delmarva Radiology P.a. Diagnostic Radiology CurrentSince Jul 1, 1998 Accepting new patients
Peninsula Imaging L.L.C. Diagnostic Radiology CurrentSince Jul 1, 1997 Accepting new patients

Locations

200 Rawlins Dr
Seaford, DE 19973
Phone (302) 536-5415

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

9733 Healthway Dr
Berlin, MD 21811
Phone (410) 641-1100

219 S Washington St
Easton, MD 21601

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

1655 Woodbrooke Dr
Salisbury, MD 21804
Phone (240) 328-0609

1655 Woodbrooke Dr
Ste 101
Salisbury, MD 21804
Phone (410) 749-1123

918 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 749-1123

2950 Fairway Dr
Ste 1
Altoona, PA 16602
Phone (814) 946-8000

Organizations & group practices 9

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 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1730199514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 EASTERN SHORE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046410",
            "telephone_number": "410-749-1124",
            "fax_number": "410-749-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-543-7369",
            "fax_number": "410-749-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENNOS",
        "first_name": "ANDREW",
        "middle_name": "DIONYSIOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0050080",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D0050080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228005100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.