Individual provider Active NPI

Henrique Jaime, MD

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1073074795
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10024835 Issued in DE
Practice address
501 W 14TH St
Wilmington, DE 19801-1013
Phone
(302) 477-3300
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C10024835 DE Primary

Addresses

Primary practice location

501 W 14TH St
Wilmington, DE 19801-1013

Mailing address

501 W 14TH St
Wilmington, DE 19801-1013

Other practice location 1

1401 Foulk Rd Ste 100B
Wilmington, DE 19803-2764
Phone (302) 477-3300

Other practice location 2

5578 Kirkwood Hwy
Wilmington, DE 19808-5002
Phone (302) 366-1182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707003127 DE Practitioner - Family Practice 1052649340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians
Westside Family Healthcare, Inc.Group PAC ID 6800706599, 58 clinicians

Practice addresses (Care Compare)

1401 Foulk Rd
Suite 100B
Wilmington, DE 19803-2764
Phone (302) 477-3300

1802 W 4TH St
Wilmington, DE 19805-3420
Phone (302) 655-5576

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10024835DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Family Medicine CurrentSince Jun 27, 2022 Accepting new patients
Christiana Care Health Services Inc Family Medicine CurrentSince Jun 27, 2022 Accepting new patients
Christiana Care Health Services, Inc Family Medicine Current Accepting new patients
Westside Family Healthcare, Inc CurrentSince Jul 8, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jun 27, 2022 Accepting new patients
Westside Family Healthcare, Inc. Current Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services, Inc. Past Accepting new patients
Westside Family Healthcare, Inc. Past Accepting new patients

Locations

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

5578 Kirkwood Hwy
Wilmington, DE 19808
Phone (302) 366-1182

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576

Organizations & group practices 9

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1073074795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-477-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Foulk Rd Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198032764",
            "country_code": "US",
            "telephone_number": "302-477-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5578 Kirkwood Hwy",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198085002",
            "country_code": "US",
            "telephone_number": "302-366-1182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIME",
        "first_name": "HENRIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10024835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.