Individual provider Active NPI

Marcantonio Fiorentino, M.D.

  • Infectious Disease Physician
  • Canton, OH
National Provider Identifier
1992701130
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35-07-1905 Issued in OH
Practice address
128 Wertz Ave NW
Suite C
Canton, OH 44708
Phone
(330) 454-7722
Fax
(330) 454-7834
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 35-07-1905 OH Primary

Addresses

Primary practice location

128 Wertz Ave NW
Suite C
Canton, OH 44708

Mailing address

128 Wertz Avenue NW
Suite C
Canton, OH 44708
Phone (330) 454-7722

Other identifiers 1

IdentifierTypeStateIssuer
2045174MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20071119000693 OH Practitioner - Infectious DiseasePractitioner - Internal Medicine 5991893315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinicians in Infectious Diseases,IncGroup PAC ID 2466540901, 3 clinicians

Practice addresses (Care Compare)

128 Wertz Ave NW
Suite C
Canton, OH 44708-4196
Phone (330) 454-7722

Hospital & facility affiliations

  • Union Hospital Hospital, Dover, OH, CCN 360010
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070
  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036

Merit-based Incentive Payment System (MIPS)

Final score
93.29 of 100Reported as group
Quality
60.92
Promoting interoperability
98
Improvement activities
40
Cost
88.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Hospital PastSince Jul 1, 2007 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marcantoniofiorentino@cidi.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1992701130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 WERTZ AVENUE NW",
            "address_2": "SUITE C",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-454-7722",
            "fax_number": "330-454-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 WERTZ AVE NW",
            "address_2": "SUITE C",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-454-7722",
            "fax_number": "330-454-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORENTINO",
        "first_name": "MARCANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35-07-1905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2045174",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.