Antony Leslie Innasimuthu, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C1-0010967 Issued in DE

Practice address

620 Stanton Christiana Rd
Suite 203
Newark, DE 19713-2133

Phone

(302) 338-9444

Fax

(302) 338-9449

NPI assigned

Jul 14, 2008

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Cardiovascular Disease (Cardiology)Also: Interventional Cardiology, Nuclear Medicine

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital, Newark, DE, CCN 080001
• St Francis Hospital Hospital, Wilmington, DE, CCN 080003
• Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032
• Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: inbox@hvclinic.direct.wrshealth.com

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.

• Christiana Care Health Services, Inc

  dba CCHS Pmri

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1770568107
  Medicare reassignment Care Compare group NPD
• Delaware Heart and Vascular Group LLC

  • Cardiovascular Disease Physician
  • Newark, DE
  • NPI 1053152652
  Medicare reassignment NPD Authorized official
• Agape Physical Therapy & Sports Rehabilitation LP

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1578900668
  Care Compare group
• Christiana Care Health Services, Inc

  dba CCHS Cardiology

  • Interventional Cardiology Physician
  • Wilmington, DE
  • NPI 1902876394

  Cardiovascular Disease

  NPD
• Christiana Care Health Services Inc

  dba CCHS Concord - Neurology

  • Neurology Physician
  • Chadds Ford, PA
  • NPI 1881228484
  NPD
• Christiana Care Health Services, Inc

  dba CCHS Satellite Offices

  • Family Medicine Physician
  • Hockessin, DE
  • NPI 1134104565
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Sussex Campus

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Care Compare affiliation
• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Kent Campus

  • General Acute Care Hospital
  • Dover, DE
  • NPI 1467546135
  Care Compare affiliation
• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation
• St. Francis Hospital Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1295738896
  Care Compare affiliation
• Union Hospital of Cecil County

  • General Acute Care Hospital
  • Elkton, MD
  • NPI 1376523357
  Care Compare affiliation

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1104080639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD",
            "address_2": "SUITE 203",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132133",
            "telephone_number": "302-338-9444",
            "fax_number": "302-338-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD",
            "address_2": "SUITE 203",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132133",
            "telephone_number": "302-338-9444",
            "fax_number": "302-338-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNASIMUTHU",
        "first_name": "ANTONY",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "DE",
            "license": "C1-0010967",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "DE",
            "license": "C1-0010967",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C1-0010967",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "DE",
            "license": "C1-0010967",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "DE",
            "license": "C1-0010967",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "DE",
            "license": "C1-0010967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104080639",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "inbox@hvclinic.direct.wrshealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "620 Stanton Christiana Rd",
            "address_2": "Suite 203",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197132133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Infectious Disease Associates PA
• Infectious Disease Consultants PA
• Annie Elizabeth Ingram, NP-C
• Galicano Fernando Inguito Jr., MD
• Galicano Kai Labio Inguito III, MD
• Innovations Home Health Agency
• Innovative Ergonomics and Wellness
• Innovative Physical Therapy & Fitness of Delaware LLC (Innovative Healthcare Centers)
• Inpatient Consultants of Maryland, P.C.
• Inpatient Consultants of Maryland, P.C.

• Cardiovascular Disease Physician in Newark, DE
• Providers in Newark, DE by specialty
• Cardiovascular Disease Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.

Verify at the official NPI Registry.