Active NPI
Alexis M. Souleles, DO
- Pediatrics Physician
- Wilmington, DE
National Provider Identifier
1215069760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C20008723
- Practice address
- 222 Philadelphia Pike
Suite 5
Wilmington, DE 19809-3166 - Phone
- (302) 651-4334
- Fax
- (302) 651-4041
- NPI assigned
- Mar 11, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C7-0003279 | DE | |
| Pediatrics Physician | 208000000X | C20008723 | DE | Primary |
| General Practice Physician | 208D00000X | C20008723 | DE |
Addresses
Primary practice location
222 Philadelphia Pike
Suite 5
Wilmington, DE 19809-3166
Mailing address
PO Box 191
Provider Enrollment Dept
Rockland, DE 19732-0191
Phone (302) 651-6212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C20008723 | DE | MD | Pediatrics Physician |
| C7-0003279 | DE | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1215069760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"address_2": "PROVIDER ENROLLMENT DEPT",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191",
"telephone_number": "302-651-6212",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 PHILADELPHIA PIKE",
"address_2": "SUITE 5",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198093166",
"telephone_number": "302-651-4334",
"fax_number": "302-651-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOULELES",
"first_name": "ALEXIS",
"middle_name": "M.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-11",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C7-0003279",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C20008723",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "DE",
"license": "C20008723",
"primary": false
}
],
"identifiers": [],
"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 Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.