Individual provider Active NPI

Devaguptapu Bhaskar Rao, MD

  • Vascular Surgery Physician
  • Newark, DE
National Provider Identifier
1235142142
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
C100006062 Issued in DE
Practice address
1 Centurian Dr
Suite 307
Newark, DE 19713-2137
Phone
(302) 543-8100
Fax
(302) 543-8905
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X C100006062 DE Primary

Addresses

Primary practice location

1 Centurian Dr
Suite 307
Newark, DE 19713-2137

Mailing address

1 Centurian Dr
Suite 307
Newark, DE 19713-2137
Phone (302) 543-8100

Other identifiers 11

IdentifierTypeStateIssuer
2101752000OtherPAPENNSYLVANIA BLUE CROSS
467501100MedicaidMD
510315372001OtherCHAMPUS
H55353OtherFIRST STATE HEALTH PLAN
0001181001MedicaidDE
2101752000OtherDELAWARE VALLEY HMO
231653OtherMAMSI
H55353OtherMID ATLANTIC
231653OtherOPTIMUM CHOICE
8756503MedicaidNJ
BLUE CROSSOtherDEDELAWARE BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000268 DE Practitioner - Vascular Surgery 8921033846 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vascular Specialists PAGroup PAC ID 8527222835, 4 clinicians

Practice addresses (Care Compare)

1941 Limestone Rd
Suite 211
Wilmington, DE 19808-5400
Phone (302) 543-8100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal14
Leg revascularization (restoring blood flow)95
Removal of tissue93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C100006062DEMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Specialists, P.a. Vascular Surgery CurrentSince Jun 5, 2012 Accepting new patients
Christiana Care Health Services Inc Vascular Surgery CurrentSince Jan 1, 2001 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 1, 2001 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services, Inc Vascular Surgery CurrentSince Nov 12, 2013 Accepting new patients
Seth L Ivins MD LLC Past Accepting new patients
Vascular Consultants PA Vascular Surgery Past Accepting new patients

Locations

201 W Liberty Way
Milford, DE 19963
Phone (302) 424-3694

1 Centurian Dr
Ste 307
Newark, DE 19713
Phone (302) 543-8100

1092 Old Churchmans Rd
Newark, DE 19713
Phone (302) 472-9880

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

100 S Main St
Ste 300
Smyrna, DE 19977
Phone (302) 389-7855

1941 Limestone Rd
Ste 211
Wilmington, DE 19808
Phone (302) 998-1151

Interoperability endpoints

  • Direct secure messaging: dbhaskar.rao@vascularspecialistsofdelaware.chartmakerdirect.com

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 6

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1235142142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR",
            "address_2": "SUITE 307",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132137",
            "telephone_number": "302-543-8100",
            "fax_number": "302-543-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR",
            "address_2": "SUITE 307",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132137",
            "telephone_number": "302-543-8100",
            "fax_number": "302-543-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "DEVAGUPTAPU BHASKAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "DE",
            "license": "C100006062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE CROSS",
            "identifier": "2101752000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "467501100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "510315372001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STATE HEALTH PLAN",
            "identifier": "H55353",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001181001",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE VALLEY HMO",
            "identifier": "2101752000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "231653",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MID ATLANTIC",
            "identifier": "H55353",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "231653",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8756503",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE BLUE CROSS",
            "identifier": "BLUE CROSS",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.