Individual provider Active NPI

Seth London Ivins, MD

  • Internal Medicine Physician
  • Newark, DE
National Provider Identifier
1235172966
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10002892 Issued in DE
Practice address
620 Stanton Christiana Rd
Suite 305
Newark, DE 19713-2133
Phone
(302) 999-8830
Fax
(302) 633-1375
NPI assigned
Jun 13, 2006
Last updated
Jan 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C10002892 DE Primary

Addresses

Primary practice location

620 Stanton Christiana Rd
Suite 305
Newark, DE 19713-2133

Mailing address

5 Summit LN
Montchanin, DE 19710
Phone (302) 658-4778

Other identifiers 1

IdentifierTypeStateIssuer
0000183701MedicaidDE

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
I20040430000577 DE Practitioner - Internal Medicine 2860489705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seth L Ivins MD LLCGroup PAC ID 0446334189, 3 clinicians
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

1415 Foulk Rd
Wilmington, DE 19803-2748
Phone (302) 999-8830

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

620 Christiana Stanton Rd
Newark, DE 19713-2135
Phone (302) 999-8830

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.86 of 100Reported as individual
Quality
62.06
Improvement activities
40
Cost
76.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10002892DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seth L Ivins MD LLC Internal Medicine CurrentSince Oct 29, 2007 Accepting new patients

Locations

620 Stanton Christiana Rd
Ste 305
Newark, DE 19713
Phone (302) 999-0144

1415 Foulk Rd
Wilmington, DE 19803
Phone (302) 999-8830

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1235172966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SUMMIT LN",
            "city": "MONTCHANIN",
            "state": "DE",
            "postal_code": "19710",
            "telephone_number": "302-658-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD",
            "address_2": "SUITE 305",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132133",
            "telephone_number": "302-999-8830",
            "fax_number": "302-633-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVINS",
        "first_name": "SETH",
        "middle_name": "LONDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10002892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000183701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.