Individual provider Active NPI

Michelle Elaine Papa, DO

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1013042431
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C7-0002935 Issued in DE
Practice address
620 Stanton Christiana Rd Ste 305
Newark, DE 19713-2135
Phone
(302) 999-8830
Fax
(302) 633-1375
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C7-0002935 DE Primary

Addresses

Primary practice location

620 Stanton Christiana Rd Ste 305
Newark, DE 19713-2135

Mailing address

620 Stanton Christiana Rd Ste 305
Newark, DE 19713-2135
Phone (302) 999-8830

Other practice location 1

1415 Foulk Rd Ste 101
Wilmington, DE 19803-2748
Phone (302) 999-8830

Other identifiers 2

IdentifierTypeStateIssuer
1020401510001MedicaidPA
P00464959OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20140630001798 DE Practitioner - Family Practice 4486663143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seth L Ivins MD LLCGroup PAC ID 0446334189, 3 clinicians

Practice addresses (Care Compare)

620 Stanton Christiana Rd
Suite 305
Newark, DE 19713-2135
Phone (302) 999-8830

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7-0002935DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seth L Ivins MD LLC CurrentSince Aug 4, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

620 Stanton Christiana Rd
Ste 305
Newark, DE 19713
Phone (302) 999-0144

1415 Foulk Rd
Wilmington, DE 19803
Phone (302) 999-8830

1415 Foulk Rd
Ste 101
Wilmington, DE 19803
Phone (302) 355-0056

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1013042431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD STE 305",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132135",
            "telephone_number": "302-999-8830",
            "fax_number": "302-633-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD STE 305",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132135",
            "telephone_number": "302-999-8830",
            "fax_number": "302-633-1375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Foulk Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198032748",
            "country_code": "US",
            "telephone_number": "302-999-8830",
            "fax_number": "302-633-1375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPA",
        "first_name": "MICHELLE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C7-0002935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020401510001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00464959",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.