Active NPI
Bonnie Catherine Callahan, M.D.
- Internal Medicine Physician
- Newark, DE
National Provider Identifier
1073728218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD431222
- Practice address
- 4755 Ogletown Stanton Road
Suite 5A43
Newark, DE 19718-2200 - Phone
- (302) 623-0188
- Fax
- (302) 733-5640
- NPI assigned
- May 11, 2007
- Last updated
- Sep 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C1-0012787 | DE | |
| Internal Medicine Physician | 207R00000X | MD431222 | PA | Primary |
Addresses
Primary practice location
4755 Ogletown Stanton Road
Suite 5A43
Newark, DE 19718-2200
Mailing address
1601 Kirkwood Hwy
Wilmington, DE 19805-4917
Phone (302) 994-2511
Other practice location 1
1601 Kirkwood Hwy
Wilmington, DE 19805-4917
Phone (302) 994-2511 ext. 5970
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 623-0188
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Jennersville Medical Associates, PC | Internal Medicine | Past | Accepting new patients |
Locations
4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
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.
-
dba CCHS Hospitalist Partners
- Hospitalist Physician
- Newark, DE
- NPI 1245474329
Internal Medicine
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Internal Medicine Physician
- West Grove, PA
- NPI 1073748844
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1073728218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 KIRKWOOD HWY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198054917",
"telephone_number": "302-994-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON ROAD",
"address_2": "SUITE 5A43",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-623-0188",
"fax_number": "302-733-5640"
}
],
"practiceLocations": [
{
"address_1": "1601 Kirkwood Hwy",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198054917",
"country_code": "US",
"telephone_number": "302-994-2511 x5970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALLAHAN",
"first_name": "BONNIE",
"middle_name": "CATHERINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1-0012787",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD431222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.