Individual provider Active NPI

Fredy O Chaparro, M.D.

  • Infectious Disease Physician
  • Wynnewood, PA
National Provider Identifier
1154586741
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD459512 Issued in PA
Practice address
100 E Lancaster Ave Ste 556
Wynnewood, PA 19096-3435
Phone
(610) 896-0210
Fax
(610) 896-5101
NPI assigned
Jul 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD459512 PA Primary

Addresses

Primary practice location

100 E Lancaster Ave Ste 556
Wynnewood, PA 19096-3435

Mailing address

100 E Lancaster Ave
Mob East 556
Wynnewood, PA 19096-3435
Phone (610) 896-0210

Other practice location 1

101 Clinic Dr
Tarboro, NC 27886-1935
Phone (252) 823-2105

Other identifiers 1

IdentifierTypeStateIssuer
103234427001MedicaidPA

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20161216001053 PA Practitioner - Infectious DiseasePractitioner - Internal Medicine 1355584921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware Valley I.D. Associates, P.C.Group PAC ID 2365421161, 11 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Suite 467
Wynnewood, PA 19096-3434
Phone (610) 896-0210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD459512PAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley I.D. Associates, P.C. Infectious Disease CurrentSince Jan 1, 2017 Accepting new patients

Locations

100 E Lancaster Ave
Ste 164
Wynnewood, PA 19096
Phone (610) 896-0210

100 E Lancaster Ave
Ste 467
Wynnewood, PA 19096
Phone (610) 896-0210

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

100 E Lancaster Ave
Ste 556
Wynnewood, PA 19096
Phone (610) 649-6980

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIFFBA/Endpoint/EIFFBA
  • Direct secure messaging: fredy.chaparro@dvid.eclinicaldirectplus.com

Organizations & group practices 1

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": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154586741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "MOB EAST 556",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963435",
            "telephone_number": "610-896-0210",
            "fax_number": "610-896-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 556",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963435",
            "telephone_number": "610-896-0210",
            "fax_number": "610-896-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Clinic Dr",
            "address_purpose": "LOCATION",
            "city": "Tarboro",
            "state": "NC",
            "postal_code": "278861935",
            "country_code": "US",
            "telephone_number": "252-823-2105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPARRO",
        "first_name": "FREDY",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD459512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103234427001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.