Individual provider Active NPI

John Benjamin McIntire, M.D.

  • Otolaryngology Physician
  • Newark, DE
National Provider Identifier
1942644489
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C1-0013135 Issued in DE
Practice address
537 Stanton Christiana Rd
Newark, DE 19713-2146
Phone
(302) 633-7550
NPI assigned
Apr 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X BP10047052 TX
Otolaryngology Physician 207Y00000X 292784 NY
Otolaryngology Physician 207Y00000X C1-0013135 DE Primary

Addresses

Primary practice location

537 Stanton Christiana Rd
Newark, DE 19713-2146

Mailing address

1072 Troy Schenectady Rd
Latham, NY 12110-1019
Phone (518) 786-7000

Other practice location 1

Utmb Department Of Otolaryngology
301 University Blvd.
Galveston, TX 77555-0521
Phone (409) 772-4688

Other practice location 2

1072 Troy Schenectady Rd
Latham, NY 12110-1019
Phone (518) 786-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmcintire@pdcsderm.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20180516001969 NY Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 5395009575 Reassigns benefits to 1 organization
I20190723002540 DE Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 5395009575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panzer Dermatology AssociatesGroup PAC ID 6103724745, 24 clinicians

Practice addresses (Care Compare)

537 Stanton Christiana Rd
Suite 207
Newark, DE 19713-2148
Phone 3026337550229

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.39 of 100Reported as group
Quality
69.25
Promoting interoperability
100
Improvement activities
40
Cost
45.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision119
Removal or shaving of skin growth1-10
Skin biopsy23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0013135DEMDOtolaryngology Physician
BP10047052TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edwin F Williams III MD Facial Plastic Surgery, PLLC Otolaryngology CurrentSince Jul 1, 2018 Accepting new patients
Panzer Dermatology Associates CurrentSince Jul 22, 2019 Accepting new patients
Delaware Center for Digestive Care LLC PastSince Jul 22, 2019 Accepting new patients

Locations

537 Stanton Christiana Rd
Ste 111
Newark, DE 19713
Phone (302) 998-0741

537 Stanton Christiana Rd
#A
Newark, DE 19713
Phone (302) 633-7550

537 Stanton Christiana Rd
Ste 207
Newark, DE 19713
Phone (302) 633-7550

537 Stanton Christiana Rd
Newark, DE 19713
Phone (302) 225-2380

1072 Troy Schenectady Rd
Latham, NY 12110
Phone (518) 283-2402

1072 Troy Schenectady Rd
Ste 101
Latham, NY 12110

60 Railroad Pl
Ste 102
Saratoga Springs, NY 12866
Phone (518) 581-1872

Interoperability endpoints

  • Direct secure messaging: jmcintire@pdcsderm.emadirect.md

Organizations & group practices 3

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.

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": "1367020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1942644489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 TROY SCHENECTADY RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101019",
            "telephone_number": "518-786-7000",
            "fax_number": "518-786-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 STANTON CHRISTIANA RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132146",
            "telephone_number": "302-633-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Utmb Department Of Otolaryngology",
            "address_2": "301 University Blvd.",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550521",
            "country_code": "US",
            "telephone_number": "409-772-4688",
            "fax_number": "409-772-1715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1072 Troy Schenectady Rd",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121101019",
            "country_code": "US",
            "telephone_number": "518-786-7000",
            "fax_number": "518-786-1160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "JOHN",
        "middle_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-27",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "BP10047052",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "292784",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DE",
            "license": "C1-0013135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcintire@pdcsderm.emadirect.md",
            "affiliation": "N",
            "address_1": "537 Stanton Christiana Rd",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197132146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.