Khalil F Gorgui, M.D.
Individual provider Active NPI Internal Medicine Physician · Delmar, DE
NPI 1225076375 · NPPES record last updated Feb 21, 2017
Key facts
- NPI
- 1225076375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- C1-0004569 (DE)
- Practice address
- 8 E Grove St
Delmar, DE 19940-1115 - Phone
- (302) 846-0618
- Fax
- (302) 846-3668
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Tidalhealth Physician Network, Inc.
Practice addresses (Care Compare)
Seaford, DE 19973
Phone 30262966118802
38552 Sussex Hwy
Suite 101
Delmar, DE 19940-3596
Phone (302) 846-0618
Hospital & facility affiliations
- Tidalhealth Home Care
- Tidalhealth Home Care
- Amedisys Home Health
- Aveanna Home Healthcare
- Tidalhealth Nanticoke, Inc.
- Tidalhealth Peninsula Regional, Inc
- Beebe Medical Center
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 |
|---|---|---|---|---|
| I20040304000310 | DE | Practitioner - Family Practice | 6800783606 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0004569 | DE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidalhealth Physician Network, Inc. | Current |
Accepting new patients | |
| Tidalhealth Specialty Care, LLC | Past | Accepting new patients |
Locations
8 E Grove St
Delmar, DE 19940
Phone (302) 846-0618
38552 Sussex Hwy
#101
Delmar, DE 19940
Phone (302) 297-2583
38552 Sussex Hwy
Delmar, DE 19940
Phone (302) 846-0618
801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C1-0004569 | DE | Yes |
Addresses
Primary practice location
8 E Grove St
Delmar, DE 19940-1115
Mailing address
8 E Grove St
Delmar, DE 19940-1115
Phone (302) 846-0618
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000631201 | Medicaid | DE |
Other providers in Delmar, DE
- Kelly Dryden
- Laurie Duncan
- Envoy of Delmar, LLC
- Ethan Forrey
- Debra Fisher Gordy
- Geraldine Green
- Courtney Gum
- Happy Harrys Inc
- Stuart Kyle Hensley
- Janet Holloway
All providers in Delmar, DE · Internal 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 Feb 21, 2017. 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.