Organization Active NPI

Christiana Institute of Advanced Surgery, PA

  • Surgery Physician
  • Newark, DE
National Provider Identifier
1104854850
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CHRISTIANA INSTITUTE OF ADVANCED SURGERY, PA
Practice address
537 Stanton Christiana Road
Ste 102
Newark, DE 19713-2145
Phone
(302) 892-9900
Fax
(302) 892-9980
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Dr. Isaias Irgau, MDNPI 1114954468
Title
Practice Owner
Phone
(302) 892-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary
Colon & Rectal Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208C00000X

Addresses

Primary practice location

537 Stanton Christiana Road
Ste 102
Newark, DE 19713-2145

Mailing address

537 Stanton Christiana Road
Ste 102
Newark, DE 19713-2145
Phone (302) 892-9900

Other identifiers 6

IdentifierTypeStateIssuer
100035954MedicaidDE
7171679OtherDEAETNA COMMERCIAL
2103001000OtherDEPERSONAL CHOICE
2947295OtherDEAETNA MANAGED CARE
2103001000OtherDEKEYSTONE
2103001000OtherDEAMERIHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040707001420 DE Part B Supplier - Clinic/Group Practice 8224016241 Receives reassigned benefits from 10 practitioners
Practice locations: Wilmington, DE; Newark, DE; Dover, DE

National Provider Directory

National Provider Directory

Locations

4755 Stantonogleton Rd
Newark, DE 19718

4755 Stanton
Newark, DE 19718

3521 Silverside Rd
Ste 1G
Wilmington, DE 19810
Phone (302) 892-9900

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1104854850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 STANTON CHRISTIANA ROAD",
            "address_2": "STE 102",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132145",
            "telephone_number": "302-892-9900",
            "fax_number": "302-892-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 STANTON CHRISTIANA ROAD",
            "address_2": "STE 102",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132145",
            "telephone_number": "302-892-9900",
            "fax_number": "302-892-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANA INSTITUTE OF ADVANCED SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "IRGAU",
        "authorized_official_first_name": "ISAIAS",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "302-892-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100035954",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA COMMERCIAL",
            "identifier": "7171679",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2103001000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MANAGED CARE",
            "identifier": "2947295",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2103001000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2103001000",
            "state": "DE"
        }
    ],
    "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 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.