Individual provider Active NPI

Ripudaman S Hundal, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Newark, DE
National Provider Identifier
1073591970
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
C10006298 Issued in DE
Practice address
774 Christiana Rd Ste 109
Newark, DE 19713-4248
Phone
(302) 444-8156
Fax
(302) 731-8158
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X C10006298 DE Primary

Addresses

Primary practice location

774 Christiana Rd Ste 109
Newark, DE 19713-4248

Mailing address

774 Christiana Rd Ste 109
Newark, DE 19713-4248
Phone (302) 444-8156

Other identifiers 1

IdentifierTypeStateIssuer
1073591970MedicaidDE

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
I20110121000363 DE Practitioner - Endocrinology 4082893102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First State Endocrinology, PAGroup PAC ID 3678736659, 3 clinicians

Practice addresses (Care Compare)

774 Christiana Rd
Suite 109
Newark, DE 19713-4248
Phone (302) 444-8156

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as apm
Quality
81.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First State Endocrinology, PA Endocrinology, Diabetes & Metabolism CurrentSince Apr 1, 2012 Accepting new patients
United Medical, LLC CurrentSince Jan 1, 2016 Accepting new patients

Locations

1082 Old Churchmans Rd
Ste 100
Newark, DE 19713
Phone (302) 444-8156

774 Christiana Rd
Ste 109
Newark, DE 19713
Phone (302) 444-8156

800 Delaware Ave
Fl 5
Wilmington, DE 19801
Phone 3022669166454

600 Delaware Ave
Wilmington, DE 19801
Phone (302) 261-5600

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d0607508-3922-4bbc-924a-d608b5ffe3b7/

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1073591970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD STE 109",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134248",
            "telephone_number": "302-444-8156",
            "fax_number": "302-731-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD STE 109",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134248",
            "telephone_number": "302-444-8156",
            "fax_number": "302-731-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDAL",
        "first_name": "RIPUDAMAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "DE",
            "license": "C10006298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073591970",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.