Organization Active NPI

Delaware Cardiovascular Associates, P.a.

  • Cardiovascular Disease Physician
  • Wilmington, DE
National Provider Identifier
1073567418
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
DELAWARE CARDIOVASCULAR ASSOCIATES, P.A.
Practice address
1403 Foulk Rd
Suite 101
Wilmington, DE 19803-2788
Phone
(302) 661-7676
Fax
(302) 661-1050
NPI assigned
May 20, 2006
Last updated
Mar 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Shraven Pakanati
Title
Practice Manager
Phone
(302) 661-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1403 Foulk Rd
Suite 101
Wilmington, DE 19803-2788

Mailing address

1403 Foulk Rd
Suite 101a
Wilmington, DE 19803-2788
Phone (302) 661-1661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040318000662 DE Part B Supplier - Clinic/Group Practice 6901796341 Receives reassigned benefits from 20 practitioners
Practice locations: Wilmington, DE; Smyrna, DE; Ocean View, DE; Newark, DE; Milford, DE; Lewes, DE; Dover, DE; Bear, DE
O20140313001075 MD Part B Supplier - Clinic/Group Practice 6901796341 Receives reassigned benefits from 5 practitioners
Practice locations: Elkton, MD

National Provider Directory

National Provider Directory

Locations

121 Becks Woods Dr
Bear, DE 19701
Phone (302) 365-8333

1539 Savannah Rd
Ste 201
Lewes, DE 19958
Phone (302) 644-7676

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

415 S DuPont Blvd
Milford, DE 19963
Phone (302) 430-7676

537 Stanton Christiana Rd
Ste 10
Newark, DE 19713

18598 Coastal Hwy
Ste A
Rehoboth Beach, DE 19971
Phone (302) 645-7672

1403 Foulk Rd
Ste 101A
Wilmington, DE 19803
Phone (302) 661-7676

106 E Main St
#108
Elkton, MD 21921

300 E Pulaski Hwy
Elkton, MD 21921
Phone (410) 392-6202

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1073567418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 FOULK RD",
            "address_2": "SUITE 101A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032788",
            "telephone_number": "302-661-1661",
            "fax_number": "302-661-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 FOULK RD",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032788",
            "telephone_number": "302-661-7676",
            "fax_number": "302-661-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE CARDIOVASCULAR ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "PAKANATI",
        "authorized_official_first_name": "SHRAVEN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "302-661-1661"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.