Individual provider Active NPI

Charles Paidas, MD

  • Surgery Physician
  • Wilmington, DE
National Provider Identifier
1225040561
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME91993 Issued in FL
Practice address
1600 Rockland Rd
Wilmington, DE 19803-3607
Phone
(302) 651-4200
Fax
(302) 651-5453
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X C100 DE
Surgery Physician 208600000X ME91993 FL Primary

Addresses

Primary practice location

1600 Rockland Rd
Wilmington, DE 19803-3607

Mailing address

PO Box 191
Rockland, DE 19732-0191

Other practice location 1

825 Old Lancaster Rd Ste 250
Bryn Mawr, PA 19010-3239
Phone (610) 542-3300

Other practice location 2

3855 W Chester Pike Ste 280
Newtown Square, PA 19073-2304
Phone (610) 557-4800

Other practice location 3

833 Chestnut St Ste 300
Philadelphia, PA 19107-4405
Phone (215) 861-8830

Other practice location 4

1280 Almonesson Rd
Deptford, NJ 08096-5502
Phone (856) 805-9370

Other practice location 5

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone (610) 526-3000

Other practice location 6

12901 Bruce B Downs Blvd
Tampa, FL 33612-4742
Phone (813) 844-8045

Other identifiers 2

IdentifierTypeStateIssuer
50994OtherFLBLUE CROSS BLUE SHIELD
271349700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 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
I20180305001724 NJ Practitioner - Pediatric Medicine 7719945864 Reassigns benefits to 2 organizations
I20190114001705 DE Practitioner - General SurgeryPractitioner - Pediatric Medicine 7719945864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Pediatric Medicine
Education
New York Medical College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Nemours FoundationGroup PAC ID 9537072483, 249 clinicians

Practice addresses (Care Compare)

1600 Rockland Rd
Wilmington, DE 19803-3607
Phone (302) 651-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C100DEMDChild & Adolescent Psychiatry Physician
ME91993FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Surgical Associates, PA Surgery CurrentSince Mar 22, 2018 Accepting new patients
The Nemours Foundation CurrentSince Nov 21, 2018 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Mar 22, 2018 Accepting new patients
The Nemours Foundation CurrentSince Nov 21, 2018 Accepting new patients
Nemours New Jersey Physician Practice, P.C. CurrentSince Feb 1, 2018 Accepting new patients

Locations

1600 Rockland Rd
Wilmington, DE 19803

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

1280 Almonesson Rd
Woodbury, NJ 08096
Phone (856) 345-1401

825 Old Lancaster Rd
Ste 250
Bryn Mawr, PA 19010
Phone (610) 542-3300

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

3855 West Chester Pike
Ste 280
Newtown Square, PA 19073
Phone (610) 557-4800

833 Chestnut St
Ste 300
Philadelphia, PA 19107
Phone (215) 861-8800

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225040561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROCKLAND RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033607",
            "telephone_number": "302-651-4200",
            "fax_number": "302-651-5453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Old Lancaster Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103239",
            "country_code": "US",
            "telephone_number": "610-542-3300",
            "fax_number": "610-542-3284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3855 W Chester Pike Ste 280",
            "address_purpose": "LOCATION",
            "city": "Newtown Square",
            "state": "PA",
            "postal_code": "190732304",
            "country_code": "US",
            "telephone_number": "610-557-4800",
            "fax_number": "610-557-4816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Chestnut St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074405",
            "country_code": "US",
            "telephone_number": "215-861-8830",
            "fax_number": "215-861-8833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1280 Almonesson Rd",
            "address_purpose": "LOCATION",
            "city": "Deptford",
            "state": "NJ",
            "postal_code": "080965502",
            "country_code": "US",
            "telephone_number": "856-805-9370",
            "fax_number": "856-805-9370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 S Bryn Mawr Ave",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103121",
            "country_code": "US",
            "telephone_number": "610-526-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12901 Bruce B Downs Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336124742",
            "country_code": "US",
            "telephone_number": "813-844-8045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIDAS",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "DE",
            "license": "C100",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME91993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50994",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271349700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.