Individual provider Active NPI

Mark A Sordi, MD

  • Family Medicine Physician
  • Lewes, DE
National Provider Identifier
1083617047
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10006216 Issued in DE
Practice address
20251 John J Williams Hwy
Lewes, DE 19958-4314
Phone
(302) 644-6860
Fax
(302) 644-6872
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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 C10006216 DE Primary

Addresses

Primary practice location

20251 John J Williams Hwy
Lewes, DE 19958-4314

Mailing address

20251 John J Williams Hwy
Lewes, DE 19958-4314
Phone (302) 644-6860

Other identifiers 1

IdentifierTypeStateIssuer
0001102701MedicaidDE

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
I20040123000206 DE Practitioner - Family Practice 7618879339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Atlantic Family PracticeGroup PAC ID 2466354188, 7 clinicians

Practice addresses (Care Compare)

20251 John J Williams Hwy
Lewes, DE 19958-4314
Phone 3026446860132

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Family Practice Family Medicine CurrentSince Jan 1, 2004 Accepting new patients
Bayside Health Association Past Accepting new patients

Locations

1535 Savannah Rd
Lewes, DE 19958
Phone (302) 645-3232

20251 John J Williams Hwy
Lewes, DE 19958
Phone (302) 644-6860

Interoperability endpoints

  • Direct secure messaging: mark.sordi.1@27532.direct.athenahealth.com
  • Direct secure messaging: marksordi@mafp.allscriptsdirect.net

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1083617047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20251 JOHN J WILLIAMS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584314",
            "telephone_number": "302-644-6860",
            "fax_number": "302-644-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20251 JOHN J WILLIAMS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584314",
            "telephone_number": "302-644-6860",
            "fax_number": "302-644-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORDI",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10006216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001102701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.