ALBERT A RIZZO MD
NPI 1245283316
Internal Medicine - Pulmonary Disease in Newark, DE

NPI Status: Active since May 18, 2006

Contact Information

4745 OGLETOWN STANTON RD
SUITE 220
NEWARK, DE
ZIP 19713
Phone: (302) 368-5515
Fax: (302) 366-1240

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  • Individual
  • Male
  • Internal Medicine
  • Pulmonary Disease
  • Accepts Insurance
  • PECOS Enrolled

About ALBERT RIZZO

This page provides the complete NPI Profile along with additional information for Albert Rizzo, an internist established in Newark, Delaware with a medical specialization in Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1245283316 assigned on May 2006. The practitioner's primary taxonomy code is 207RP1001X with license number C10002286 (DE). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1245283316
Provider Name
ALBERT A RIZZO MD
Gender
Male
Entity Type
Individual
Location Address
4745 OGLETOWN STANTON RD SUITE 220 NEWARK, DE 19713
Location Phone
(302) 368-5515
Location Fax
(302) 366-1240
Mailing Address
4745 OGLETOWN STANTON RD SUITE 220 NEWARK, DE 19713
Mailing Phone
(302) 368-5515
Mailing Fax
(302) 366-1240
Is Sole Proprietor?
No
Enumeration Date
05-18-2006
Last Update Date
11-29-2016
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An internist like Albert Rizzo is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
License No.
C10002286
License State
DE
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Signature + No Referrals - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
441729P26MEDICARE ID-TYPE UNSPECIFIED (04) 
52686002OTHER (01)MDCAREFIRST BCBS
1167271001OTHER (01)CIGNA
290751OTHER (01)MAMSI
D01192MEDICARE UPIN (02) 
0101225000OTHER (01)AMERIHEALTH/KEYSTONE
44368OTHER (01)COVENTRY
290003440MEDICARE ID-TYPE UNSPECIFIED (04)PALMETTO GBA MEDICARE
4284636OTHER (01)AETNA/USHC
441729OTHER (01)INDEPENDENCE BCBS
0000058501MEDICAID (05)DE 

Medicare Participation & PECOS Enrollment Status

Albert Rizzo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)

    15 DME suppliers used 227 Medicare Claims 227 Services Paid

  • DME-Other DME (DE000N)

    Administration set, with small volume nonfiltered pneumatic nebulizer, disposable (HCPCS:A7003)

    5 DME suppliers used 20 Medicare Claims 40 Services Paid

  • DME-Other DME (DE001N)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    16 DME suppliers used 146 Medicare Claims 146 Services Paid

  • DME-Other DME (DE001N)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    15 DME suppliers used 137 Medicare Claims 376 Services Paid

  • DME-Other DME (DE001N)

    Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)

    13 DME suppliers used 181 Medicare Claims 1046 Services Paid

  • DME-Other DME (DE001N)

    Pillow for use on nasal cannula type interface, replacement only, pair (HCPCS:A7033)

    11 DME suppliers used 139 Medicare Claims 804 Services Paid

  • DME-Other DME (DE001N)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    17 DME suppliers used 365 Medicare Claims 365 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    22 DME suppliers used 293 Medicare Claims 293 Services Paid

  • DME-Other DME (DE001N)

    Chinstrap used with positive airway pressure device (HCPCS:A7036)

    6 DME suppliers used 26 Medicare Claims 26 Services Paid

  • DME-Other DME (DE001N)

    Tubing used with positive airway pressure device (HCPCS:A7037)

    16 DME suppliers used 247 Medicare Claims 247 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    23 DME suppliers used 446 Medicare Claims 2647 Services Paid

  • DME-Other DME (DE001N)

    Filter, non disposable, used with positive airway pressure device (HCPCS:A7039)

    14 DME suppliers used 140 Medicare Claims 140 Services Paid

  • DME-Other DME (DE001N)

    Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)

    20 DME suppliers used 236 Medicare Claims 236 Services Paid

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    2 DME suppliers used 29 Medicare Claims 29 Services Paid

  • DME-Oxygen and Supplies (DC000N)

    Portable oxygen contents, gaseous, 1 month's supply = 1 unit (HCPCS:E0443)

    2 DME suppliers used 20 Medicare Claims 20 Services Paid

  • DME-Other DME (DE001N)

    Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) (HCPCS:E0470)

    4 DME suppliers used 51 Medicare Claims 51 Services Paid

  • DME-Other DME (DE001N)

    Humidifier, heated, used with positive airway pressure device (HCPCS:E0562)

    2 DME suppliers used 36 Medicare Claims 36 Services Paid

  • DME-Other DME (DE000N)

    Nebulizer, with compressor (HCPCS:E0570)

    2 DME suppliers used 34 Medicare Claims 34 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    9 DME suppliers used 178 Medicare Claims 178 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    5 DME suppliers used 186 Medicare Claims 188 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    4 DME suppliers used 90 Medicare Claims 93 Services Paid

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:K0738)

    1 DME suppliers used 19 Medicare Claims 19 Services Paid

  • DME-Other DME (DE000N)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    9 DME suppliers used 47 Medicare Claims 47 Services Paid

Drugs Administered Through DME

  • DME-Drugs Administered Through DME (DG006N)

    Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)

    8 DME suppliers used 21 Medicare Claims 5405 Services Paid

  • DME-Drugs Administered Through DME (DG000N)

    Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg (HCPCS:J7626)

    3 DME suppliers used 20 Medicare Claims 1680 Services Paid

  • DME-Drugs Administered Through DME (DG006N)

    Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram (HCPCS:J7677)

    1 DME suppliers used 12 Medicare Claims 63000 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 29 times for 28 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 66 times for 60 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19713 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $131.15
  • Minimum New Patient Price $57.12
  • Maximum New Patient Price $173.08
  • Average New Patient Copayment $32.78
  • Minimum New Patient Copayment $14.28
  • Maximum New Patient Copayment $43.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.68
  • Minimum Established Patient Price $18.36
  • Maximum Established Patient Price $141.05
  • Average Established Patient Copayment $25.17
  • Minimum Established Patient Copayment $4.59
  • Maximum Established Patient Copayment $35.26

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245283316, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 4 + 8 + 6 + 3 + 2 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1245283316.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
4745 OGLETOWN STANTON RD, MAP #1, SUITE 226
NEWARK, DE 19713
Specialist
4745 OGLETOWN STANTON RD, SUITE 200
NEWARK, DE 19713
Nurse Practitioner (Family)
4745 OGLETOWN STANTON RD, MEDICAL ARTS PAVILLION 1 SUITE 136
NEWARK, DE 19713
Orthopaedic Surgery (Foot and Ankle Surgery)
4745 OGLETOWN STANTON RD, STE 225
NEWARK, DE 19713
Otolaryngology
4745 OGLETOWN STANTON RD, SUITE 112
NEWARK, DE 19713
Dentist
4745 OGLETOWN STANTON RD, SUITE 110
NEWARK, DE 19713
Obstetrics & Gynecology
4745 OGLETOWN STANTON RD, SUITE 106
NEWARK, DE 19713
Internal Medicine (Pulmonary Disease)
4745 OGLETOWN STANTON RD, MAP 1, SUITE 220
NEWARK, DE 19713
Internal Medicine (Pulmonary Disease)
4745 OGLETOWN STANTON RD, MAP 1, SUITE 220
NEWARK, DE 19713
Internal Medicine (Pulmonary Disease)
4745 OGLETOWN STANTON RD, MAP 1, SUITE 220
NEWARK, DE 19713
Internal Medicine (Pulmonary Disease)
4745 OGLETOWN STANTON RD, MAP 1, SUITE 220
NEWARK, DE 19713
Pediatrics (Neonatal-Perinatal Medicine)
4745 OGLETOWN STANTON RD, MEDICAL ARTS PAVILION ONE SUITE 217
NEWARK, DE 19713
Internal Medicine (Pulmonary Disease)
4745 OGLETOWN STANTON RD, SUITE 220
NEWARK, DE 19713
Obstetrics & Gynecology
4745 OGLETOWN STANTON RD, SUITE 106
NEWARK, DE 19713
Pediatrics (Neonatal-Perinatal Medicine)
4745 OGLETOWN STANTON RD, SUITE 217 MEDICAL ARTS PAVILION ONE
NEWARK, DE 19713
Colon & Rectal Surgery
4745 OGLETOWN STANTON RD, SUITE 216
NEWARK, DE 19713
Colon & Rectal Surgery
4745 OGLETOWN STANTON RD, SUITE 216
NEWARK, DE 19713
Pediatrics (Neonatal-Perinatal Medicine)
4745 OGLETOWN STANTON RD, MEDICAL ARTS PAVILION ONE SUITE 217
NEWARK, DE 19713
Obstetrics & Gynecology
4745 OGLETOWN STANTON RD, MAP1, SUITE 207
NEWARK, DE 19713
Obstetrics & Gynecology
4745 OGLETOWN STANTON RD, MAP 1, SUITE 207
NEWARK, DE 19713

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245283316, enumerated as an "individual" on May 18, 2006.

The provider is located at 4745 OGLETOWN STANTON RD SUITE 220 NEWARK, DE 19713 and the phone number is (302) 368-5515.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: AmeriHealth Caritas Next, Medicare, Medicaid, Blue. Please consult your insurance carrier or call the provider to verify.