Individual provider Active NPI

Christopher J Pellegrino, M.D.

  • Plastic Surgery Physician
  • Salisbury, MD
National Provider Identifier
1902843105
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D0043870 Issued in MD
Practice address
314 W Carroll St
Suite 1
Salisbury, MD 21801-5305
Phone
(410) 546-0464
Fax
(410) 546-8529
NPI assigned
May 31, 2006
Last updated
Oct 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X D0043870 MD Primary

Addresses

Primary practice location

314 W Carroll St
Suite 1
Salisbury, MD 21801-5305

Mailing address

314 W Carroll St
Suite 1
Salisbury, MD 21801-5305
Phone (410) 546-0464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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
I20120503000448 MD Practitioner - Plastic and Reconstructive Surgery 8325013543 Reassigns benefits to 1 organization
I20170221001724 DE Practitioner - Plastic and Reconstructive Surgery 8325013543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Georgetown University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18947 John J Williams Hwy
Unit 215
Rehoboth Beach, DE 19971-4476
Phone (302) 643-2900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision138
Removal of skin lesions1-10
Removal or shaving of skin growth14
Skin biopsy26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Plastic Surgery P.C. Plastic Surgery CurrentSince Jul 1, 2003 Accepting new patients
Pellegrino Plastic Surgery LLC Plastic Surgery CurrentSince Dec 1, 2023 Accepting new patients

Locations

30265 Commerce Dr
Unit 208
Millsboro, DE 19966
Phone (302) 663-0119

18947 John J Williams Hwy
Unit 215
Rehoboth Beach, DE 19971
Phone (302) 643-2900

314 W Carroll St
Ste 1
Salisbury, MD 21801
Phone (410) 546-0464

Interoperability endpoints

  • Direct secure messaging: cpellegrino23099@beebehealth.direct-ci.com

Organizations & group practices 2

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 3

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1902843105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W CARROLL ST",
            "address_2": "SUITE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015305",
            "telephone_number": "410-546-0464",
            "fax_number": "410-546-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W CARROLL ST",
            "address_2": "SUITE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015305",
            "telephone_number": "410-546-0464",
            "fax_number": "410-546-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0043870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.