DR. JOHN L ROUSSALIS M.D.PC NPI 1235252669

NPI Information

  • NPI: 1235252669
  • Provider Name: DR. JOHN L ROUSSALIS, M.D.PC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 537 STANTON CHRISTIANA RD
    NEWARK, DE
    ZIP 19713
  • Phone: (302) 633-7550

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NPI Details

DR. John L Roussalis, M.D.PC is a plastic and reconstructive surgery surgery in Newark, DE with 26 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. John L Roussalis, M.D.PC NPI is 1235252669. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

537 STANTON CHRISTIANA RD
NEWARK, DE
ZIP 19713-146
Phone: (302) 633-7550
Fax: (302) 633-7556

The NPI 1235252669 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less (HCPCS:15002)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm (HCPCS:14021)
  • Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less (HCPCS:15004)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
  • Complicated repair of wound of trunk, each additional 5.0 cm or less (HCPCS:13102)
  • Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm (HCPCS:11604)
  • Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
  • Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less (HCPCS:13122)
  • Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11403)
  • Repair of wound by transferring skin, each additional 30.0 sq cm (HCPCS:14302)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm (HCPCS:11606)
  • Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less (HCPCS:15100)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less (HCPCS:12031)
  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/9/2007 and was last updated on 6/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryMD426938PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W21591OTHERWYOMINGPTAN
2127068100MEDICAIDWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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