Active NPI
Entela A Kristo, PA-C
- Physician Assistant
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C50000835
- 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
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C50000835 | DE | MD | Physician Assistant |
| MA055416 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physician Services, PC /Dba Midlantic Urology | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Alliance Physician Services, PC | Current | Accepting new patients | |
| Jefferson University Physicians | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Physician Assistant | Current | 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.
-
- Endocrinology, Diabetes & Metabolism Physician
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- NPI 1770568107
-
- General Practice Physician
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- NPI 1326093675
-
- Urology Physician
- Paoli, PA
- NPI 1952829350
-
- Surgery Physician
- Newark, DE
- NPI 1407831894
Physician Assistant
-
- Urology Physician
- Wake Forest, NC
- NPI 1316811888
-
- Urology Physician
- Bala Cynwyd, PA
- NPI 1558889956
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.