Ray A Blackwell, M.D.
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Newark, DE
NPI 1033200084 · NPPES record last updated Aug 24, 2007
Key facts
- NPI
- 1033200084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- C10004901 (DE)
- Practice address
- 4755 Ogletown Stanton Rd
Suite 1E50
Newark, DE 19718-0002 - Phone
- (302) 733-1980
- Fax
- (302) 733-1986
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 34
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Thoracic Surgery
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christiana Care Health Services Inc
Practice addresses (Care Compare)
1401 Foulk Rd
Wilmington, DE 19803-2764
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Hospital & facility affiliations
- Christianacare Homehealth
- Christianacare Homehealth
- Christiana Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 35 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DE, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070219000397 | DE | Practitioner - Thoracic Surgery | 0143322354 | Reassigns benefits to 2 organizations |
| I20240213003205 | PA | Practitioner - Thoracic Surgery | 0143322354 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beebe Physician Network Inc. | Current |
Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| University of Penn-Medical Group | Current |
Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current |
Accepting new patients | |
| University of Penn-Medical Group | Current |
Accepting new patients | |
| Christiana Care Health Services, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current |
Accepting new patients |
| Christiana Care Health Services, Inc | Past | Accepting new patients | |
| Christiana Care Health Services, Inc. | Past | Accepting new patients | |
| University of Penn - Medical Group | Past | Accepting new patients | |
| Lemole & Spagna, P. C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
431 Savannah Rd
Lewes, DE 19958
Phone (302) 644-4282
32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
4755 Ogletown Stanton Rd
Ste 1E50
Newark, DE 19718
Phone (302) 733-1980
4755 Ogletown Stanton Rd
#1E50
Newark, DE 19718
Phone (302) 733-1980
3521 Silverside Rd
Ste 1C
Wilmington, DE 19810
Phone (302) 368-3007
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | C10004901 | DE | Yes |
Addresses
Primary practice location
4755 Ogletown Stanton Rd
Suite 1E50
Newark, DE 19718-0002
Mailing address
4755 Ogletown Stanton Rd
P. O. Box 6001
Newark, DE 19718-0001
Phone (302) 733-1980
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000766101 | Medicaid | DE |
Other providers in Newark, DE
- BJS Wholesale Club Inc
- Deborah M Black
- Curt D Blacklock
- Marissa Blackwell
- Megan Elizabeth Blackwell
- Patricia L Blair
- Elizabeth Pearl Blanford
- Bethany Blank
- Emily Nicole Blaszkow
- Philip Mark Blatt
All providers in Newark, DE · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.