Active NPI
Kirsten Przywara Opalach, PA-C
- Physician Assistant
- Middletown, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C5-0000613
- Practice address
- 124 Sleepy Hollow Dr
Middletown, DE 19709-5838 - Phone
- (302) 449-3100
- Fax
- (302) 449-3110
- NPI assigned
- Oct 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C5-0000613 | DE | Primary |
Addresses
Primary practice location
124 Sleepy Hollow Dr
Middletown, DE 19709-5838
Mailing address
124 Sleepy Hollow Dr
Middletown, DE 19709-5838
Phone (302) 449-3100
Other names 1
- Kirsten Marie Przywara
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Chestnut Hill PLZ
Suite C
Newark, DE 19713-2761
Phone (302) 455-2730
101 N E PLZ
Christianacare Gohealth Urge
North East, MD 21901-3633
Phone (410) 656-7867
1011 E Songsmith Dr
Christianacare Gohealth Urgent Care
Bear, DE 19701-1194
Phone (302) 918-7509
129 N Dupont Hwy
New Castle, DE 19720-3135
Phone (302) 501-6367
2645 Pulaski Hwy
SPC a
Newark, DE 19702-3909
Phone (302) 273-1317
310 E Pulaski Hwy
Christianacare Gohealth Urge
Elkton, MD 21921-6435
Phone (443) 485-6213
360 Buckley Mill Rd
Suite B
Greenville, DE 19807-3035
Phone (302) 299-1001
4724 Limestone Rd
Wilmington, DE 19808-1928
Phone (302) 467-3595
550 S College Ave
115 Christianacare Gohealth Urgent Care
Newark, DE 19713-1324
Phone (302) 273-0727
749 Middletown Warwick Rd
Christianacare Gohealth Urgent Care
Middletown, DE 19709-9095
Phone (302) 273-1614
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0000613 | DE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNR Industries LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries LLC | Current | Accepting new patients | |
| Christiana Care Quality Partners | Past | Accepting new patients | |
| Delmar Emergency Specialists PA | Emergency Medicine | Past | Accepting new patients |
Locations
1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970
1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970
6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330
504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452
101 North East Plz
North East, MD 21901
Phone (410) 543-2020
Interoperability endpoints
- kirsten.opalach@ghuccc.eclinicaldirectplus.com
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1164483558
-
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
-
- Urgent Care Clinic/Center
- Forest Hill, MD
- NPI 1427596428
-
- Urgent Care Clinic/Center
- Upper Marlboro, MD
- NPI 1194195008
-
- Urgent Care Clinic/Center
- Bel Air, MD
- NPI 1649089418
-
- Urgent Care Clinic/Center
- Wilmington, DE
- NPI 1881367332
-
- Emergency Medicine Physician
- Elkton, MD
- NPI 1851361224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1184812224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 SLEEPY HOLLOW DR",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197095838",
"telephone_number": "302-449-3100",
"fax_number": "302-449-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 SLEEPY HOLLOW DR",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197095838",
"telephone_number": "302-449-3100",
"fax_number": "302-449-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPALACH",
"first_name": "KIRSTEN",
"middle_name": "PRZYWARA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-12",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C5-0000613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIRSTEN",
"last_name": "PRZYWARA",
"middle_name": "MARIE",
"credential": "NONE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Middletown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.