Ian Myers, MD
Individual provider Active NPI Family Medicine Physician · Newark, DE
NPI 1194783019 · NPPES record last updated Jan 3, 2022
Key facts
- NPI
- 1194783019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C1-0005890 (DE)
- Practice address
- 2600 Glasgow Ave
Suite 126
Newark, DE 19702-4773 - Phone
- (302) 832-7600
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Hahnemann University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2600 Glasgow Ave
Suite 218
Newark, DE 19702-5704
Phone (302) 832-7600
Hospital & facility affiliations
- Christianacare Homehealth
- Union Hospital of Cecil County
- Christiana Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090306000100 | DE | Practitioner - Family Practice | 3274699889 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0005890 | DE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ian Myers, MD LLC | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
Interoperability endpoints
- ianmyers@dim.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C1-0005890 | DE | Yes |
Addresses
Primary practice location
2600 Glasgow Ave
Suite 126
Newark, DE 19702-4773
Mailing address
2600 Glasgow Ave Ste 218
Newark, DE 19702-5704
Phone (302) 832-7600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00070381 | Other | DE | MEDICARE RAILROAD |
| 758403200 | Medicaid | MD |
Other providers in Newark, DE
- Jennifer L Muzzi
- Nancy Kerubo Mwebri
- MX Physical Therapy, Inc.
- Myers and Myers Mental Health LLC
- Audrey E Myers
- Keegan Myers
- Kristin Myers
- Mindy Myers
- Stacey Dawn Myers
- Ashley Nabb
All providers in Newark, DE · Family Medicine Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.