Active NPI
Paul M. Imber, D.O.
- Otolaryngology Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- C2-0002170
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000022603 | Medicaid | DE |
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
- Otolaryngology
- Education
- Philadelphia College of Osteopathic Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Foulk Rd
Suite 205
Wilmington, DE 19803-2764
Phone (302) 998-0300
Hospital & facility affiliations
- Christiana Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.46 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0002170 | DE | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy of Delaware LLC | Current | 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.
-
- Specialist
- Newark, DE
- NPI 1386946333
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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.