Individual provider Active NPI

Antonio L Zarraga, MD

  • Internal Medicine Physician
  • Milford, DE
National Provider Identifier
1013095587
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CI0004034 Issued in DE
Practice address
101 Wellness Way Ste 200
Milford, DE 19963-4366
Phone
(302) 430-0867
Fax
(302) 430-0421
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X CI0004034 DE
Internal Medicine Physician 207R00000X CI0004034 DE Primary
Family Medicine Physician 207Q00000X CI0004034 DE

Addresses

Primary practice location

101 Wellness Way Ste 200
Milford, DE 19963-4366

Mailing address

640 S. State Street
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 480-1688

Other identifiers 8

IdentifierTypeStateIssuer
00A053Z56OtherDEMEDICARE
510401INFOtherDEBCBS SPECIALIST
882215OtherDEOPTIMUM CHOICE
100803OtherDECOVENTRY
F47539OtherDEBCBS DE
898332OtherDEAETUS
0000459801MedicaidDE
4284720OtherDEAETNA

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
I20100310000446 DE Practitioner - Internal MedicinePractitioner - Infectious Disease 2860449824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians

Practice addresses (Care Compare)

101 Wellness Way
200 Bayhealth Primary Care Sussex
Milford, DE 19963-4366
Phone (302) 430-0867

Hospital & facility affiliations

  • Bayada Home Health Care at Bayhealth Home health agency, Dover, DE, CCN 087024
  • Amedisys Home Health Home health agency, Georgetown, DE, CCN 087034
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CI0004034DEMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Sep 1, 2018 Accepting new patients
Bayhealth Medical Center, Inc Family Medicine CurrentSince Sep 1, 2018 Accepting new patients

Locations

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
Fl 3
Dover, DE 19901

804 N DuPont Blvd
Milford, DE 19963
Phone (302) 725-3557

101 Wellness Way
Ste 200
Milford, DE 19963
Phone (302) 422-1251

305 Jefferson Ave
Milford, DE 19963
Phone (302) 503-0741

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1013095587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE STREET",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-480-1688",
            "fax_number": "302-480-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WELLNESS WAY STE 200",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199634366",
            "telephone_number": "302-430-0867",
            "fax_number": "302-430-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARRAGA",
        "first_name": "ANTONIO",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "DE",
            "license": "CI0004034",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "CI0004034",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "CI0004034",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00A053Z56",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SPECIALIST",
            "identifier": "510401INF",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "882215",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "100803",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DE",
            "identifier": "F47539",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETUS",
            "identifier": "898332",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000459801",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4284720",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.