Active NPI
Milo Bastianelli, DO
- Otolaryngology/Facial Plastic Surgery Physician
- Delray Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- OS16264
- Practice address
- 13660 S Jog Rd Ste 3
Delray Beach, FL 33446-3806 - Phone
- (561) 495-2002
- Fax
- (561) 733-3742
- NPI assigned
- Jun 7, 2006
- Last updated
- Feb 17, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 25MB06532600 | NJ | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | OS16264 | FL | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 25MB06532600 | NJ | |
| Facial Plastic Surgery Physician | 207YS0123X | 25MB06532600 | NJ |
Addresses
Primary practice location
13660 S Jog Rd Ste 3
Delray Beach, FL 33446-3806
Mailing address
13660 S Jog Rd Ste 3
Delray Beach, FL 33446-3806
Phone (561) 495-2002
Other practice location 1
505 Chestnut Street
Roselle Park, NJ 07204
Phone (908) 241-0200 ext. 15
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 854041 | Other | NJ | AETNA |
| OS162264 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 Compare- Specialty
- Otolaryngology
- Education
- Rowan University School of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13660 Jog Rd
Suite 3
Delray Beach, FL 33446-3806
Phone (561) 495-2002
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB06532600 | NJ | MD | Orthopaedic Surgery Physician |
| OS16264 | FL | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platinum Ear, Nose, and Throat, P.a. | Otolaryngology/Facial Plastic Surgery | Current | Accepting new patients |
| Ijkg Opco LLC | Current | Accepting new patients | |
| Fidelity Hearing Health, LLC | Past | Accepting new patients | |
| FL Gator ENT PLLC | Otolaryngology/Facial Plastic Surgery | Past | Accepting new patients |
Locations
13660 S Jog Rd
Ste 3
Delray Beach, FL 33446
Phone (561) 495-2002
Interoperability endpoints
- milo.bastianelli@direct.bayonnemedicalcenter.md
Organizations & group practices 4
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Delray Beach, FL
- NPI 1285888388
-
- Otolaryngology/Facial Plastic Surgery Physician
- Delray Beach, FL
- NPI 1811807787
-
- Audiologist-Hearing Aid Fitter
- Summit, NJ
- NPI 1750546842
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boynton Beach, FL
- NPI 1417952748
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
dba Delray Medical Center
- General Acute Care Hospital
- Delray Beach, FL
- NPI 1326078288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1811937048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13660 S JOG RD STE 3",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463806",
"telephone_number": "561-495-2002",
"fax_number": "561-733-3742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13660 S JOG RD STE 3",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463806",
"telephone_number": "561-495-2002",
"fax_number": "561-733-3742"
}
],
"practiceLocations": [
{
"address_1": "505 Chestnut Street",
"address_purpose": "LOCATION",
"city": "Roselle Park",
"state": "NJ",
"postal_code": "07204",
"country_code": "US",
"telephone_number": "908-241-0200 x15",
"fax_number": "908-241-1615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASTIANELLI",
"first_name": "MILO",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "NJ",
"license": "25MB06532600",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "FL",
"license": "OS16264",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "25MB06532600",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NJ",
"license": "25MB06532600",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "854041",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "OS162264",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.