Individual provider Active NPI

Drew Venables

  • Physician Assistant
  • Lewes, DE
National Provider Identifier
1053795997
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0001378 Issued in DE
Practice address
353 Savannah Rd
Lewes, DE 19958-1438
Phone
(302) 703-6585
NPI assigned
Jul 9, 2015
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0001378 DE Primary
Surgical Physician Assistant 363AS0400X 0110-005018 VA

Addresses

Primary practice location

353 Savannah Rd
Lewes, DE 19958-1438

Mailing address

18594 Fir Drive Ext
Rehoboth Beach, DE 19971-8649
Phone (302) 236-9137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, CO2 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

Enrollment IDStateProvider typePAC IDDetails
I20200116001645 DE Practitioner - Physician Assistant 6305155862 Reassigns benefits to 1 organization
I20250723004474 CO Practitioner - Physician Assistant 6305155862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burke Dermatology PAGroup PAC ID 4082615430, 11 clinicians

Practice addresses (Care Compare)

353 Savannah Rd
Lewes, DE 19958-1438
Phone (302) 703-6585

774 Christiana Rd
Suite 107
Newark, DE 19713-4248
Phone (302) 230-3376

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.55 of 100Reported as group
Quality
85.31
Improvement activities
40
Cost
71.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0001378DEMDPhysician Assistant
0110-005018VAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ears Nose and Throat LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1053795997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18594 FIR DRIVE EXT",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199718649",
            "telephone_number": "302-236-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581438",
            "telephone_number": "302-703-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENABLES",
        "first_name": "DREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0001378",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110-005018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.