NPIMap

Individual provider Active NPI

Jeremie Michael Axe, M.D.

  • Orthopaedic Surgery Physician
  • Newark, DE
National Provider Identifier
1093979692
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C1-0010957 Issued in DE
Practice address
4745 Ogletown Stanton Rd Ste 225
Newark, DE 19713-1387
Phone
(302) 731-2888
Fax
(302) 731-7049
NPI assigned
Jul 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X C1-0010957 DE Primary

Addresses

Primary practice location

4745 Ogletown Stanton Rd Ste 225
Newark, DE 19713-1387

Mailing address

211 Executive Dr Ste 11
Newark, DE 19702-3358
Phone (302) 731-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150707001943 DE Practitioner - Orthopedic Surgery 6103045711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LP 684 clinicians
First State Orthopaedics PA 97 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

4745 Ogletown Stanton Rd
Suite 225
Newark, DE 19713-1340
Phone (302) 731-2888

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
96
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement33
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0010957DEMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First State Orthopaedics PA CurrentSince Jun 1, 2015 Accepting new patients
First State Orthopaedics PA CurrentSince Jun 1, 2015 Accepting new patients
First State Orthopaedics PA Orthopaedic Surgery Current Accepting new patients
First State Orthopaedics, PA Orthopaedic Surgery Past Accepting new patients

Locations

601 Tower Ln
Ste 201
Middletown, DE 19709

4051 Ogletown Stanton Rd
Ste 103
Newark, DE 19713

4745 Ogletown Stanton Rd
Ste 238
Newark, DE 19713

211 Executive Dr
Ste 11
Newark, DE 19702
Phone (302) 793-1800

4745 Stanton Ogletown Rd
Ste 225
Newark, DE 19713
Phone 30273128881001

100 S Main St
Ste 300
Smyrna, DE 19977
Phone (302) 389-7855

1401 Foulk Rd
Ste 101
Wilmington, DE 19803
Phone (302) 478-5500

Interoperability endpoints

  • Direct secure messaging: jeremie.axe.p1@direct.fsoortho.nextgenshare.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 8

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": "1215820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1093979692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EXECUTIVE DR STE 11",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023358",
            "telephone_number": "302-731-2888",
            "fax_number": "302-731-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 OGLETOWN STANTON RD STE 225",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131387",
            "telephone_number": "302-731-2888",
            "fax_number": "302-731-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXE",
        "first_name": "JEREMIE",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-12",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DE",
            "license": "C1-0010957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.