Individual provider Active NPI

Entela A Kristo, PA-C

  • Physician Assistant
  • Newark, DE
National Provider Identifier
1225302854
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C50000835 Issued in DE
Practice address
Christiana Hospital, Department of Surgery
4755 Ogletown Stanton Road
Newark, DE 19718-2200
Phone
(302) 733-3475
Fax
(302) 325-7056
NPI assigned
Feb 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA055416 PA
Physician Assistant 363A00000X
Physician Assistant 363A00000X C50000835 DE Primary

Addresses

Primary practice location

Christiana Hospital, Department of Surgery
4755 Ogletown Stanton Road
Newark, DE 19718-2200

Mailing address

CCHS Physician Contracting, Suite 2300
200 Hygeia Drive
Newark, DE 19713-2049

Other names 1

  • Entela Cani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120328000554 PA Practitioner - Physician Assistant 4880854827 Reassigns benefits to 2 organizations
I20171214002025 DE Practitioner - Physician Assistant 4880854827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

1401 Foulk Rd
Wilmington, DE 19803-2764

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

501 W 14TH St
Wilmington, DE 19801-1013

501 W 14TH St FL
6 CCHS Infectious Disease
Wilmington, DE 19801-1013
Phone (302) 320-1300

501 W 14TH St Wilmington Hospital
Wilmington, DE 19801-1013

621 Middletown Odessa Rd
Middletown, DE 19709-9602
Phone (302) 203-2260

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C50000835DEMDPhysician Assistant
MA055416PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC /Dba Midlantic Urology CurrentSince Oct 1, 2017 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 11, 2017 Accepting new patients
Alliance Physician Services, PC CurrentSince Oct 1, 2017 Accepting new patients
Jefferson University Physicians CurrentSince Feb 26, 2024 Accepting new patients
Christiana Care Health Services, Inc Physician Assistant CurrentSince Oct 11, 2017 Accepting new patients
Alliance Physician Services, PC Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

4755 Ogletown Stanton Rd
Ste 2670
Newark, DE 19718
Phone (302) 584-2601

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 7

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.

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": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1225302854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CCHS PHYSICIAN CONTRACTING, SUITE 2300",
            "address_2": "200 HYGEIA DRIVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHRISTIANA HOSPITAL, DEPARTMENT OF SURGERY",
            "address_2": "4755 OGLETOWN STANTON ROAD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-3475",
            "fax_number": "302-325-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTO",
        "first_name": "ENTELA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055416",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C50000835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENTELA",
            "last_name": "CANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.