Individual provider Active NPI

Shari Ann Del DO, M.D.

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1215936281
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101033570 Issued in VA
Practice address
214 Cochran Ave
Fayetteville, NC 28301-3875
Phone
(910) 482-4131
NPI assigned
Jul 20, 2005
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31476 NC
Family Medicine Physician 207Q00000X 67071 NC
Family Medicine Physician 207Q00000X 0101033570 VA Primary

Addresses

Primary practice location

214 Cochran Ave
Fayetteville, NC 28301-3875

Mailing address

3300 Cliffdale Rd
Fayetteville, NC 28303-4939
Phone (910) 624-1954

Other practice location 1

800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 891-6000

Other identifiers 4

IdentifierTypeStateIssuer
89130RPMedicaidNC
130RPOtherNC130RP
130RPOtherNCBCBS OF NC GROUP # 015CK
8913ORPMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031229000794 NC Practitioner - Emergency MedicinePractitioner - Family Practice 2961300959 Reassigns benefits to 1 organization
I20210427000299 VA Practitioner - Emergency Medicine 2961300959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Virginia Commonwealth University, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Virginia Regional Emergency Physicians LLCGroup PAC ID 4183991227, 88 clinicians

Practice addresses (Care Compare)

58 Carrol St
Lebanon, VA 24266
Phone (276) 883-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.12 of 100Reported as group
Quality
64.75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31476NCMDFamily Medicine Physician
67071NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoke Emergency Group, PC CurrentSince Oct 28, 2017 Accepting new patients
Western Virginia Regional Emergency Physicians, LLC CurrentSince Mar 21, 2021 Accepting new patients
Vidant Medical Group LLC CurrentSince Jun 10, 2022 Accepting new patients
Lumberton Emergency Physicians Past Accepting new patients
Carolina Coast Emergency Physicians LLC Past Accepting new patients
Bladen County Emergency Physicians PLLC Past Accepting new patients
North Carolina Emergency Physicians, PLLC PastSince Feb 9, 2020 Accepting new patients
The Carolinas Emergency Group, PLLC PastSince Apr 19, 2020 Accepting new patients
United Emergency Services, Inc. Past Accepting new patients

Locations

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

Interoperability endpoints

  • Direct secure messaging: sdeldo371641@direct.ecuhealth.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1215936281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 CLIFFDALE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034939",
            "telephone_number": "910-624-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 COCHRAN AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013875",
            "telephone_number": "910-482-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Tilghman Dr",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283345510",
            "country_code": "US",
            "telephone_number": "910-891-6000",
            "fax_number": "910-891-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL DO",
        "first_name": "SHARI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "31476",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "67071",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101033570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89130RP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "130RP",
            "identifier": "130RP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC GROUP # 015CK",
            "identifier": "130RP",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913ORP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.