Active NPI
Ian Michael Lonergan, D.O.
- Plastic and Reconstructive Surgery Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- C20008811
- Practice address
- 1600 Pennsylvania Ave
Wilmington, DE 19806-4047 - Phone
- (302) 656-0214
- Fax
- (877) 284-8933
- NPI assigned
- Mar 24, 2008
- Last updated
- Apr 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C20008811 | DE | |
| Plastic Surgery Physician | 208200000X | 5101017079 | MI | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | C20008811 | DE | Primary |
| General Practice Physician | 208D00000X | C20008811 | DE |
Addresses
Primary practice location
1600 Pennsylvania Ave
Wilmington, DE 19806-4047
Mailing address
1600 Pennsylvania Ave
Wilmington, DE 19806-4047
Phone (302) 656-0214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136323YABT | Other | MEDICARE ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Rowan University School of Osteopathic Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Pennsylvania Ave
Wilmington, DE 19806-4047
Phone (302) 656-0214
18947 John Willms Hwy
Unit 210
Rehoboth Beach, DE 19971-4476
Phone (302) 645-3121
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80 of 100
- Quality
- 62.88
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 75.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 24 |
| Removal of tissue | 475 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101017079 | MI | MD | Plastic Surgery Physician |
| C20008811 | DE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Post Acute Care Physicians of the East, PA | Family Medicine | Current | Accepting new patients |
| Beebe Physician Network, Inc. | Family Medicine | Current | Accepting new patients |
| Aesthetic Plastic Surgery of Delaware, P.a. | Plastic Surgery | Current | Accepting new patients |
| Beebe Medical Center, Inc. | Current | Accepting new patients | |
| State of Delaware-Stockley | Current | Accepting new patients |
Locations
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302
200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
18947 John J Williams Hwy
Unit 210
Rehoboth Beach, DE 19971
Phone (302) 478-7981
1600 Pennsylvania Ave
Wilmington, DE 19806
Phone (302) 439-3063
Interoperability endpoints
- ilonergan22711@beebehealth.direct-ci.com
Organizations & group practices 5
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.
-
dba Beebe Medical Group
- Internal Medicine Physician
- Lewes, DE
- NPI 1730133992
Family Medicine
-
- Plastic Surgery Physician
- Wilmington, DE
- NPI 1760633861
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
- Family Medicine Physician
- Miramar, FL
- NPI 1063848968
DE
-
- Intellectual Disabilities Intermediate Care Facility
- Georgetown, DE
- NPI 1962557561
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beebe Home Health Agency
- Home Health Agency
- Millsboro, DE
- NPI 1063513075
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303430400000",
"number": "1174795744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 PENNSYLVANIA AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198064047",
"telephone_number": "302-656-0214",
"fax_number": "877-284-8933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 PENNSYLVANIA AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198064047",
"telephone_number": "302-656-0214",
"fax_number": "877-284-8933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONERGAN",
"first_name": "IAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-24",
"last_updated": "2011-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C20008811",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MI",
"license": "5101017079",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "DE",
"license": "C20008811",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "DE",
"license": "C20008811",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "136323YABT",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.