Jonathan Ross Kaufmann, D.O.
Individual provider Active NPI Internal Medicine Physician · Dover, DE
NPI 1104953843 · NPPES record last updated Jul 16, 2018
Key facts
- NPI
- 1104953843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- C7-0003467 (DE)
- Practice address
- 640 S State St
Dover, DE 19901 - Phone
- (302) 744-7581
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bayhealth Medical Center, Inc
Practice addresses (Care Compare)
640 S State St
Dover, DE 19901-3530
804 N Dupont Blvd
Bayhealth Internal Med.Milford Kent
Milford, DE 19963-1006
Phone (302) 725-3557
Hospital & facility affiliations
- Bayhealth Medical Center, Kent Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Bayada Home Health Care at Bayhealth |
Home health agency | Corporate Director | Feb 7, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090720000463 | DE | Practitioner - Internal Medicine | 9830241058 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7-0003467 | DE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc. | Current |
Accepting new patients | |
| Apogee Medical Group, Delaware, Inc | Internal Medicine | Current |
Accepting new patients |
| Bayhealth Medical Center, Inc | Current |
Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Current |
Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current |
Accepting new patients | |
| Bayhealth Medical Center, Inc | Current |
Accepting new patients |
Locations
640 S State St
Dover, DE 19901
Phone (302) 744-4700
804 N DuPont Blvd
Milford, DE 19963
Phone (302) 725-3557
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C7-0003467 | DE | Yes |
Addresses
Primary practice location
640 S State St
Dover, DE 19901
Mailing address
233 Wickerberry Dr
Middletown, DE 19709-7810
Other providers in Dover, DE
- Zahir Kasmani
- Michele D Kassien
- Jonathan L Kates
- Kathryn L Ford Family Practice Center, L.L.C.
- Theodoros Katsichtis
- Yashjot Kaur
- Tara Kay
- Kaza Medical Group
- Janaki Baby Kaza
- Kdwilliams Management LLC
All providers in Dover, DE · Internal Medicine Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.