Individual provider Active NPI

Paul M. Imber, D.O.

  • Otolaryngology Physician
  • Wilmington, DE
National Provider Identifier
1245308147
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C2-0002170 Issued in DE
Practice address
1401 Foulk Rd
Suite 205
Wilmington, DE 19803-2763
Phone
(302) 998-0300
Fax
(302) 999-7943
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X C2-0002170 DE Primary

Addresses

Primary practice location

1401 Foulk Rd
Suite 205
Wilmington, DE 19803-2763

Mailing address

700 Prides Xing Ste 200
Newark, DE 19713-6109
Phone (302) 998-0300

Other identifiers 1

IdentifierTypeStateIssuer
000022603MedicaidDE

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
I20080806000274 DE Practitioner - Otolaryngology 0143394312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Philadelphia College of Osteopathic Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy of Delaware LLCGroup PAC ID 2264613504, 42 clinicians

Practice addresses (Care Compare)

1401 Foulk Rd
Suite 205
Wilmington, DE 19803-2764
Phone (302) 998-0300

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

Merit-based Incentive Payment System (MIPS)

Final score
89.46 of 100Reported as group
Quality
89.33
Promoting interoperability
100
Improvement activities
40
Cost
75.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C2-0002170DEMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy of Delaware LLC CurrentSince Jan 1, 2011 Accepting new patients

Locations

700 Prides Xing
Ste 200
Newark, DE 19713

1401 Foulk Rd
Ste 205
Wilmington, DE 19803

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 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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1245308147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PRIDES XING STE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197136109",
            "telephone_number": "302-998-0300",
            "fax_number": "302-999-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FOULK RD",
            "address_2": "SUITE 205",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032763",
            "telephone_number": "302-998-0300",
            "fax_number": "302-999-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBER",
        "first_name": "PAUL",
        "middle_name": "M.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DE",
            "license": "C2-0002170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000022603",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.