Active NPI
Dinesh Kommareddy, MD
- Hospitalist Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- C1-0027051
- Practice address
- 4755 Ogletown Stanton Road
Suite 5A43
Newark, DE 19718-2200 - Phone
- (302) 623-0188
- Fax
- (302) 733-5640
- NPI assigned
- Mar 31, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 322185 | NY | |
| Hospitalist Physician | 208M00000X | D0101602 | MD | |
| Internal Medicine Physician | 207R00000X | 322185 | NY | |
| Internal Medicine Physician | 207R00000X | C1-0027051 | DE | |
| Internal Medicine Physician | 207R00000X | D0101602 | MD | |
| Hospitalist Physician | 208M00000X | C1-0027051 | DE | Primary |
Addresses
Primary practice location
4755 Ogletown Stanton Road
Suite 5A43
Newark, DE 19718-2200
Mailing address
1101 Nott St FL B5
Schenectady, NY 12308-2489
Phone (518) 728-1542
Other practice location 1
1101 Nott St
Schenectady, NY 12308-2425
Phone (518) 243-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 623-0188
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0027051 | DE | MD | Hospitalist Physician |
| D0101602 | MD | MD | Hospitalist Physician |
| 322185 | NY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Union Hospital of Cecil County | Internal Medicine | Current | Accepting new patients |
| Ellis Hospital | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Union Hospital of Cecil County | Current | Accepting new patients | |
| Christiana Care Health Services, Inc. | Past | Accepting new patients |
Locations
4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
207 North St
Ste A
Elkton, MD 21921
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
1101 Nott St
Fl B5
Schenectady, NY 12308
433 State St
Fl 3
Schenectady, NY 12305
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Newark, DE
- NPI 1245474329
Internal Medicine
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1124067848
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Speech-Language Pathologist
- Elkton, MD
- NPI 1033865993
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1023646486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 NOTT ST FL B5",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082489",
"telephone_number": "518-728-1542",
"fax_number": "518-243-1367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON ROAD",
"address_2": "SUITE 5A43",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-623-0188",
"fax_number": "302-733-5640"
}
],
"practiceLocations": [
{
"address_1": "1101 Nott St",
"address_purpose": "LOCATION",
"city": "Schenectady",
"state": "NY",
"postal_code": "123082425",
"country_code": "US",
"telephone_number": "518-243-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOMMAREDDY",
"first_name": "DINESH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-31",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "322185",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D0101602",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "322185",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1-0027051",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0101602",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "DE",
"license": "C1-0027051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.