Individual provider Active NPI

George M. Kluchnik, MD

  • Hospitalist Physician
  • Lewes, DE
National Provider Identifier
1023133618
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
C1-0008285 Issued in DE
Practice address
424 Savannah Rd
Lewes, DE 19958-1462
Phone
(302) 645-3555
Fax
(302) 644-3560
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C1-0008285 DE
Hospitalist Physician 208M00000X C1-0008285 DE Primary

Addresses

Primary practice location

424 Savannah Rd
Lewes, DE 19958-1462

Mailing address

400 Savannah Rd
Suite B
Lewes, DE 19958-1499
Phone (302) 645-3555

Other identifiers 6

IdentifierTypeStateIssuer
1023133618MedicaidDE
666487OtherDECOVENTRY HEALTH CARE
1023133618OtherDEDE PHYSICIAN CARE-MCAID
P00398651OtherDERAILROAD MEDICARE
1023133618OtherDEDIAMOND STATE MEDICAID
522011HOSOtherDEBCBS OF DELAWARE-HOSPITAL

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
I20070619000621 DE Practitioner - Internal Medicine 4486753266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
62.88
Promoting interoperability
94
Improvement activities
40
Cost
75.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Delaware-Stockley CurrentSince Jul 9, 2007 Accepting new patients
Beebe Physician Network Inc. Internal Medicine CurrentSince Jul 9, 2007 Accepting new patients
Beebe Medical Center, Inc. Past Accepting new patients

Locations

1515 Savannah Rd
Lewes, DE 19958

400 Savannah Rd
Ste B
Lewes, DE 19958
Phone (302) 645-3232

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

Interoperability endpoints

  • Direct secure messaging: gkluchnik22686@beebehealth.direct-ci.com

Organizations & group practices 3

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 1

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1023133618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SAVANNAH RD",
            "address_2": "SUITE B",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581499",
            "telephone_number": "302-645-3555",
            "fax_number": "302-644-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581462",
            "telephone_number": "302-645-3555",
            "fax_number": "302-644-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUCHNIK",
        "first_name": "GEORGE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0008285",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "DE",
            "license": "C1-0008285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023133618",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE",
            "identifier": "666487",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DE PHYSICIAN CARE-MCAID",
            "identifier": "1023133618",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00398651",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIAMOND STATE MEDICAID",
            "identifier": "1023133618",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DELAWARE-HOSPITAL",
            "identifier": "522011HOS",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.