Individual provider Active NPI

Joseph J Inzerillo, MD

  • Emergency Medicine Physician
  • Ocean City, MD
National Provider Identifier
1851379291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0047637 Issued in MD
Practice address
102 120TH St
Ocean City, MD 21842-4796
Phone
(410) 520-0582
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0047637 MD Primary

Addresses

Primary practice location

102 120TH St
Ocean City, MD 21842-4796

Mailing address

PO Box 3012
Wilmington, DE 19804-0012
Phone (302) 224-5678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20060605000213 DE Practitioner - Family Practice 1557358017 Reassigns benefits to 1 organization
1 other NPI on this enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
62.88
Promoting interoperability
94
Improvement activities
40
Cost
75.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0047637MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sussex Emergency Associates LLC Emergency Medicine CurrentSince Apr 27, 2004 Accepting new patients
Beebe Physician Network Inc. CurrentSince May 28, 2012 Accepting new patients
State of Delaware-Stockley CurrentSince May 28, 2012 Accepting new patients
Atlantic General Hospital Corporation Past Accepting new patients
Monty Leone Health Works Inc Emergency Medicine Past Accepting new patients

Locations

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

1515 Savannah Rd
Lewes, DE 19958

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851379291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3012",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198040012",
            "telephone_number": "302-224-5678",
            "fax_number": "302-224-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 120TH ST",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218424796",
            "telephone_number": "410-520-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INZERILLO",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0047637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, MD

Sources for this page

Verify at the official NPI Registry.