Mary Duppert

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA067295 Issued in PA

Practice address

1500 Lansdowne Ave
Darby, PA 19023-1200

Phone

(610) 237-4814

NPI assigned

Oct 20, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ENT and Allergy of Delaware LLCGroup PAC ID 2264613504, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• ENT and Allergy of Delaware LLC

  • Specialist
  • Newark, DE
  • NPI 1386946333
  Medicare reassignment Care Compare group
• Mercy Diagnostic Imaging PC

  dba Mid Atlantic Radiology Consultants, LLC

  • Diagnostic Radiology Physician
  • Darby, PA
  • NPI 1477509768
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1053288555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CHESLEY DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631762",
            "telephone_number": "610-871-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LANSDOWNE AVE",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231200",
            "telephone_number": "610-237-4814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N Clayton St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198053165",
            "country_code": "US",
            "telephone_number": "610-237-4814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPPERT",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA067295",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0012364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Downing, M.D.
• Sheila Downing, RD
• Brenden Doyle
• Thomas Duffy, D.O.
• Shreya Dunddumalla
• Satya Rashmit Durugu, MD
• Eastwick Radiology Assocs. (Mercy Fitzgerald Hospital Outpatient)
• Celsus Iegbeojai Ebba, M.D.
• Edmacy Community Transportation LLC
• Edmacy Home Care Inc

• Physician Assistant in Darby, PA
• Providers in Darby, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.

Verify at the official NPI Registry.