ANGELO R. DEROSALIA MD
NPI 1649444183
Urology in Liverpool, NY

Active since April 16, 2008PECOS EnrolledAccepts Medicare Assignment
94.05/100
CMS Quality Rating
5100 W TAFT RD, SUITE 4D, LIVERPOOL, NY 13088(315) 458-6669(315) 458-0819 Get Directions Write a Review

NPPES record last updated: June 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angelo R. Derosalia Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELO R. DEROSALIA MD (NPI 1649444183) is an individual urology provider in Liverpool, New York, licensed in New York (244397) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2002).

NPPES Registry Identity

NPI1649444183
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameANGELO R. DEROSALIACredential: MD
Location Address5100 W TAFT RD, SUITE 4DLiverpool, NY 13088-3807
Mailing Address1226 E Water StSyracuse, NY 13210-1155 · (315) 478-4185 · Fax (315) 478-0840
Fax(315) 458-0819
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2002
Enumeration DateApril 16, 2008
Last NPPES UpdateJune 27, 2012
NPI 1649444183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 244397
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
5100 W TAFT RD, Liverpool, NY 13088

Other Identifiers 1

Medicare UPINRB8731NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Angelo R. Derosalia Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931271715
PECOS Enrollment IDI20080710000753
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
795 services581 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
599 services475 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
395 services339 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
293 services236 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
282 services242 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
228 services222 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Crouse Hospital

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330203
Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13088 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability93
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers19 claims62 services$8.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Pathology)
5100 W TAFT RD, SUITE #3M NORTH MEDICAL CENTER
LIVERPOOL, NY 13088
Obstetrics & Gynecology (Gynecology)
5100 W TAFT RD, SUITE 3G
LIVERPOOL, NY 13088
Internal Medicine (Cardiovascular Disease)
5100 W TAFT RD, SUITE 4J
LIVERPOOL, NY 13088
Dentist
5100 W TAFT RD, SUITE 3K
LIVERPOOL, NY 13088
Urology
5100 W TAFT RD, SUITE 4-D
LIVERPOOL, NY 13088
Radiology (Diagnostic Radiology)
5100 W TAFT RD, SUITE 2A
LIVERPOOL, NY 13088
Surgery
5100 W TAFT RD, SUITE 2Q
LIVERPOOL, NY 13088
Radiology (Neuroradiology)
5100 W TAFT RD, SUITE 2A
LIVERPOOL, NY 13088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelo Derosalia's NPI number?

The NPI number for Angelo Derosalia is 1649444183. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Angelo Derosalia located?

Angelo Derosalia practices at 5100 W Taft Rd Suite 4D, Liverpool, NY 13088. The listed phone number is (315) 458-6669.

What is Angelo Derosalia's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Angelo Derosalia enrolled in Medicare?

Yes. Angelo Derosalia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Angelo Derosalia affiliated with any hospitals?

According to CMS data, Angelo Derosalia is affiliated with St Joseph's Hospital Health Center, Crouse Hospital and Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Angelo Derosalia was last updated on June 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.