Individual provider Active NPI

Kallie T Fehr, MD, MPH

  • Family Medicine Physician
  • Lewes, DE
National Provider Identifier
1174101778
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0027037 Issued in DE
Practice address
17388 N Main Village Blvd
Lewes, DE 19958
Phone
(302) 291-6050
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X C1-0027037 DE Primary

Addresses

Primary practice location

17388 N Main Village Blvd
Lewes, DE 19958

Mailing address

17388 N Village Main Blvd
Lewes, DE 19958-7240

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241231002305 DE Practitioner - Family Practice 1658772801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Drexel University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

12100 Black Swan Dr
Lewes, DE 19958-4991
Phone (302) 645-1315

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
62.88
Promoting interoperability
94
Improvement activities
40
Cost
75.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network Inc. Family Medicine CurrentSince Oct 24, 2024 Accepting new patients

Locations

21635 Biden Ave
Unit 101
Georgetown, DE 19947
Phone (302) 856-9596

34445 King Street Row
Lewes, DE 19958
Phone (302) 645-2833

12100 Black Swan Dr
Ste 104
Lewes, DE 19958
Phone (302) 645-1315

1515 Savannah Rd
Ste 200
Lewes, DE 19958

12100 Black Swan Dr
Lewes, DE 19958
Phone (302) 645-1315

1305 Savannah Rd
Ste 1
Lewes, DE 19958
Phone (302) 645-2281

100 Silicato Pkwy
Ste 200
Milford, DE 19963
Phone (302) 393-2056

28538 DuPont Blvd
Unit 1
Millsboro, DE 19966
Phone (302) 829-3294

232 Mitchell St
Ste 3
Millsboro, DE 19966

32050 Long Neck Rd
Millsboro, DE 19966
Phone (302) 645-3150

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

23900 Milton Ellendale Hwy
Ste 101
Milton, DE 19968
Phone (302) 684-2033

18947 John J Williams Hwy
Unit 303
Rehoboth Beach, DE 19971
Phone (302) 644-0690

36450 Tidal Rd
Unit 2
Selbyville, DE 19975
Phone (302) 291-6045

Interoperability endpoints

  • Direct secure messaging: kfehr22712@beebehealth.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1174101778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17388 N VILLAGE MAIN BLVD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199587240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17388 N MAIN VILLAGE BLVD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "19958",
            "telephone_number": "302-291-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHR",
        "first_name": "KALLIE",
        "middle_name": "T",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0027037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.