Domenico S Ausiello MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301053623 Issued in MI

Legal business name

DOMENICO S AUSIELLO MD PC

Practice address

200 S Franklin St
Greenville, MI 48838-1740

Phone

(616) 754-6949

Fax

(616) 754-1062

NPI assigned

Dec 21, 2010

Last updated

Dec 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane Andres

Title

Credentialing/Billing

Phone

(616) 754-6949

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Domenico S Ausiello, MD

  • Family Medicine Physician
  • Greenville, MI
  • NPI 1144254095
  Medicare reassignment NPD

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1972806594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S FRANKLIN ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381740",
            "telephone_number": "616-754-6949",
            "fax_number": "616-754-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S FRANKLIN ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381740",
            "telephone_number": "616-754-6949",
            "fax_number": "616-754-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMENICO S AUSIELLO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "ANDRES",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING",
        "authorized_official_telephone_number": "616-754-6949"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301053623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0590023",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2751016",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Peter Dekraker, D.C.
• Samantha Lynn Denslow
• Matthew B Dewys, DO
• Joy Dickinson
• Mitchell Doerr, MD
• Julie Ann Dragt, NP
• Delaney Sue Drumm
• DTG II PLLC (BeyondMD)
• Brayden Gerald Durfee
• Alisa Duvall, MD

• Family Medicine Physician in Greenville, MI
• Providers in Greenville, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.