Individual provider Active NPI

Rituparna Deb, MD

  • General Practice Physician
  • Seaford, DE
National Provider Identifier
1073928065
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C10012129 Issued in DE
Practice address
49 Fallon Ave
Seaford, DE 19973-1577
Phone
(302) 629-5030
Fax
(302) 629-5035
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X C10012129 DE Primary

Addresses

Primary practice location

49 Fallon Ave
Seaford, DE 19973-1577

Mailing address

PO Box 191
Rockland, DE 19732-0191
Phone (302) 651-4200

Other practice location 1

411 N Shipley St
Seaford, DE 19973-2317
Phone (302) 629-5050

Other identifiers 4

IdentifierTypeStateIssuer
0571288MedicaidNJ
122977000MedicaidMD
103460268MedicaidPA
250424143MedicaidDE

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
I20170908000800 DE Practitioner - Pediatric Medicine 3274806575 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Aug 6, 2017 Accepting new patients
The Nemours Foundation CurrentSince Aug 6, 2017 Accepting new patients
Christiana Care Health Services, Inc. Past Accepting new patients

Locations

411 N Shipley St
Seaford, DE 19973
Phone (302) 629-5050

49 Fallon Ave
Seaford, DE 19973
Phone (302) 629-5030

1600 Rockland Rd
Wilmington, DE 19803

Interoperability endpoints

  • Direct secure messaging: rdeb68389@direct.nemours.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1073928065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 FALLON AVE",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199731577",
            "telephone_number": "302-629-5030",
            "fax_number": "302-629-5035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 N Shipley St",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199732317",
            "country_code": "US",
            "telephone_number": "302-629-5050",
            "fax_number": "302-629-5053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEB",
        "first_name": "RITUPARNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DE",
            "license": "C10012129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0571288",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122977000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103460268",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250424143",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.