NPIMap

Individual provider Active NPI

Kert Anzilotti, M.D.

  • Diagnostic Radiology Physician
  • Hockessin, DE
National Provider Identifier
1982663753
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C1-0007247 Issued in DE
Practice address
5936 Limestone Rd
Suite 301
Hockessin, DE 19707-8905
Phone
(302) 234-5800
Fax
(302) 234-2380
NPI assigned
Mar 21, 2006
Last updated
Oct 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C1-0007247 DE Primary

Addresses

Primary practice location

5936 Limestone Rd
Suite 301
Hockessin, DE 19707-8905

Mailing address

5936 Limestone Rd
Suite 301
Hockessin, DE 19707-8905
Phone (302) 234-5800

Other identifiers 2

IdentifierTypeStateIssuer
P00126609OtherDERAILROAD MEDICARE
1000030421MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients
Christiana Care Health Initiatives Past Accepting new patients
Christiana Care Health Initiatives Diagnostic Radiology Past Accepting new patients
X-Ray Associates P.a. Past Accepting new patients
Putnam Imaging Associates PC Diagnostic Radiology Past Accepting new patients
Danbury Radiological Associates, PC Diagnostic Radiology Past Accepting new patients
X-Ray Associates, LLC Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1982663753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5936 LIMESTONE RD",
            "address_2": "SUITE 301",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078905",
            "telephone_number": "302-234-5800",
            "fax_number": "302-234-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5936 LIMESTONE RD",
            "address_2": "SUITE 301",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078905",
            "telephone_number": "302-234-5800",
            "fax_number": "302-234-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZILOTTI",
        "first_name": "KERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0007247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00126609",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000030421",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hockessin, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.