Active NPI
Benedetto A Iacovelli, M.D.
- Emergency Medicine Physician
- Hendersonville, NC
National Provider Identifier
1770522823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 98-01310
- Practice address
- 100 Hospital Dr
Hendersonville, NC 28792-5272 - Phone
- (877) 751-1157
- NPI assigned
- Jun 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 98-01310 | NC | Primary |
| Family Medicine Physician | 207Q00000X | 98-01310 | NC |
Addresses
Primary practice location
100 Hospital Dr
Hendersonville, NC 28792-5272
Mailing address
3114 Croasdaile Dr
Suite 200
Durham, NC 27705-2508
Phone (919) 425-1565
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1207A | Other | BCBS OF NC | |
| P00010556 | Other | RAILROAD | |
| 891207A | Medicaid | NC | |
| Q01313 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98-01310 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sylva Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| The Carolinas Emergency Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| Murphy Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Haywood Emergency Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393
68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
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.
-
- Emergency Medicine Physician
- Murphy, NC
- NPI 1053808378
-
- Emergency Medicine Physician
- Sylva, NC
- NPI 1669808143
-
- Emergency Medicine Physician
- Dunn, NC
- NPI 1477508836
-
- Emergency Medicine Physician
- Clyde, NC
- NPI 1801837869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231113600000",
"number": "1770522823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3114 CROASDAILE DR",
"address_2": "SUITE 200",
"city": "DURHAM",
"state": "NC",
"postal_code": "277052508",
"telephone_number": "919-425-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287925272",
"telephone_number": "877-751-1157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACOVELLI",
"first_name": "BENEDETTO",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2009-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "98-01310",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "98-01310",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "1207A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00010556",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891207A",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q01313",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.