NPIMap

Individual provider Active NPI

Douglas Lienesch, MD

  • Rheumatology Physician
  • Newark, DE
National Provider Identifier
1124129747
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
C1-0013313 Issued in DE
Practice address
4735 Ogletown Stanton Rd Ste 2201
Newark, DE 19713-8000
Phone
(302) 623-4390
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD428000 PA
Rheumatology Physician 207RR0500X C1-0013313 DE Primary

Addresses

Primary practice location

4735 Ogletown Stanton Rd Ste 2201
Newark, DE 19713-8000

Mailing address

200 Hygeia Dr Ste 2300
Newark, DE 19713-2049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190925000077 DE Practitioner - Rheumatology 5890746499 Reassigns benefits to 1 organization
I20211117000288 MD Practitioner - Rheumatology 5890746499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

111 W High St
Elkton, MD 21921-8611

4735 Ogletown Stanton Rd
Suite 2201
Newark, DE 19713-8000
Phone (302) 320-2490

Hospital & facility affiliations

  • 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
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0013313DEMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Sep 5, 2019 Accepting new patients
Union Hospital of Cecil County, Inc CurrentSince Nov 10, 2021 Accepting new patients
Christiana Care Health Services Inc. Rheumatology CurrentSince Sep 5, 2019 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Union Hospital of Cecil County Rheumatology CurrentSince Nov 10, 2021 Accepting new patients
University Internal Medicine Associates, Inc. Rheumatology Past Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

4735 Ogletown Stanton Rd
Ste 2201
Newark, DE 19713
Phone (302) 320-2490

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

Organizations & group practices 8

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1124129747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR STE 2300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD STE 2201",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197138000",
            "telephone_number": "302-623-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIENESCH",
        "first_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD428000",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "DE",
            "license": "C1-0013313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.