Active NPI
John Frederick Decarli, D.O.
- Internal Medicine Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C2-0002853
- Practice address
- 700 W Lea Blvd
Suite 306
Wilmington, DE 19802-2500 - Phone
- (302) 761-9620
- NPI assigned
- Aug 17, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C2-0002853 | DE | Primary |
Addresses
Primary practice location
700 W Lea Blvd
Suite 306
Wilmington, DE 19802-2500
Mailing address
2405 Landon Dr
Wilmington, DE 19810-3511
Phone (302) 761-9620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000022903 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 1985
- 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
4735 Ogletown Stanton Rd
Suite 3301
Newark, DE 19713-7021
Phone (302) 623-4370
Hospital & facility affiliations
- Christianacare Homehealth
- Bayada Home Health Care, Inc
- Christiana Hospital
- Union Hospital of Cecil County
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 93 |
| Removal of skin lesions | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0002853 | DE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital of Cecil County | Internal Medicine | Current | Accepting new patients |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Union Hospital of Cecil County | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Internal Medicine | Past | Accepting new patients |
| John F Decarli DO | Internal Medicine | Past | Accepting new patients |
| Union Hospital of Cecil County | Past | Accepting new patients |
Locations
4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343
4735 Ogletown Stanton Rd
Ste 3301
Newark, DE 19713
Phone (302) 623-4370
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
3521 Silverside Rd
Ste 1C
Wilmington, DE 19810
Phone (302) 368-3007
700 W Lea Blvd
Ste 300
Wilmington, DE 19802
Phone (302) 320-4050
700 W Lea Blvd
Ste 306
Wilmington, DE 19802
Phone (302) 761-9620
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
207 North St
Ste A
Elkton, MD 21921
Organizations & group practices 8
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.
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1124067848
-
- Internal Medicine Physician
- Wilmington, DE
- NPI 1821155235
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
dba Union Behavioral Health
- Psychiatry Physician
- Elkton, MD
- NPI 1689978751
-
dba CCHS Satellite Offices
- Family Medicine Physician
- Hockessin, DE
- NPI 1134104565
Internal Medicine
-
dba Open MRI and Imaging at Principio
- Radiology Clinic/Center
- Perryville, MD
- NPI 1922246206
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care Visiting Nurse Association
- Home Health Agency
- Wilmington, DE
- NPI 1437152154
-
- Home Health Agency
- Wilmington, DE
- NPI 1245277219
-
- Home Health Agency
- Newark, DE
- NPI 1366473969
-
dba BAYADA Pediatrics
- Home Health Agency
- New Castle, DE
- NPI 1447281043
-
- Home Health Agency
- Wilmington, DE
- NPI 1821029422
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- General Acute Care Hospital
- Elkton, MD
- NPI 1376523357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063404044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 LANDON DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198103511",
"telephone_number": "302-761-9620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W LEA BLVD",
"address_2": "SUITE 306",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198022500",
"telephone_number": "302-761-9620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECARLI",
"first_name": "JOHN",
"middle_name": "FREDERICK",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C2-0002853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000022903",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.