Active NPI
Fadi E Damouni, MD
- Internal Medicine Physician
- Millsboro, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C10005379
- Practice address
- 26744 John J Williams Hwy.
Suite #7
Millsboro, DE 19966 - Phone
- (302) 945-0440
- Fax
- (302) 945-0442
- NPI assigned
- Apr 20, 2006
- Last updated
- Nov 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C10005379 | DE | Primary |
Addresses
Primary practice location
26744 John J Williams Hwy.
Suite #7
Millsboro, DE 19966
Mailing address
26744 John J Williams Hwy
Suite 7
Millsboro, DE 19966-4667
Phone (302) 945-0440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000874601 | Medicaid | DE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fadi.damouni@phl.eclinicaldirectplus.com | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
26744 John J Williams Hwy
Unit 3
Millsboro, DE 19966-4667
Phone (302) 945-0440
Hospital & facility affiliations
- Beebe Hospital Home Health
- Bayada Home Health Care at Bayhealth
- Amedisys Home Health
- Aveanna Home Healthcare
- Christianacare Homehealth
- Beebe Medical Center
- Bayhealth Hospital, Sussex Campus
- Tidalhealth Nanticoke, Inc.
- Tidalhealth Peninsula Regional, Inc
- Pam Health Rehabilitation Hospital of Georgetown L
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10005379 | DE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Health LLC | Internal Medicine | Current | Accepting new patients |
Locations
26744 John J Williams Hwy
Unit 3
Millsboro, DE 19966
Phone (302) 945-0440
26744 John J Williams Hwy
Unit 7
Millsboro, DE 19966
Phone (302) 536-5215
Interoperability endpoints
- fadi.damouni@phl.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/IHBEBA/Endpoint/IHBEBA
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.
-
- Internal Medicine Physician
- Millsboro, DE
- NPI 1316198062
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bayhealth Hospital, Sussex Campus
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
dba Beebe Home Health Agency
- Home Health Agency
- Millsboro, DE
- NPI 1063513075
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
dba Christiana Care Visiting Nurse Association
- Home Health Agency
- Smyrna, DE
- NPI 1841293438
-
- Rehabilitation Hospital
- Georgetown, DE
- NPI 1679147219
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Seaford, DE
- NPI 1245214477
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1245295260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26744 JOHN J WILLIAMS HWY",
"address_2": "SUITE 7",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "199664667",
"telephone_number": "302-945-0440",
"fax_number": "302-945-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26744 JOHN J WILLIAMS HWY.",
"address_2": "SUITE #7",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "19966",
"telephone_number": "302-945-0440",
"fax_number": "302-945-0442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMOUNI",
"first_name": "FADI",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C10005379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000874601",
"state": "DE"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fadi.damouni@phl.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "eclinicalworks is the ehr",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "26744 John J Williams Hwy.",
"address_2": "Suite #7",
"city": "Millsboro",
"state": "DE",
"country_code": "US",
"postal_code": "19966",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Millsboro, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.