Individual provider Active NPI

Madhavi Karnam

  • Dentist
  • Wilmington, DE
National Provider Identifier
1245562966
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
G10001399 Issued in DE
Practice address
5500 Skyline Dr Ste 2
Wilmington, DE 19808-1772
Phone
(302) 239-8586
NPI assigned
Feb 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS038151 PA
Dentist 122300000X G10001399 DE Primary

Addresses

Primary practice location

5500 Skyline Dr Ste 2
Wilmington, DE 19808-1772

Mailing address

1277 Highspire Rd
Romansville, PA 19320-4796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190214002529 PA Practitioner - Dentist 9638477912 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G10001399DEMDDentist
DS038151PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Healthy Smiles Family Dental PA CurrentSince Jul 28, 2024 Accepting new patients
Community Health and Dental Care, Inc CurrentSince Jan 1, 2019 Accepting new patients
Community Health and Dental Care, Inc CurrentSince Jan 1, 2019 Accepting new patients

Locations

5500 Skyline Dr
Ste 2
Wilmington, DE 19808
Phone (267) 421-2073

351 W Schuylkill Rd
Ste G15A
Pottstown, PA 19465
Phone (484) 948-3097

700 Heritage Dr
Ste 701
Pottstown, PA 19464
Phone 6103269460193

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1245562966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 HIGHSPIRE RD",
            "city": "ROMANSVILLE",
            "state": "PA",
            "postal_code": "193204796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 SKYLINE DR STE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081772",
            "telephone_number": "302-239-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNAM",
        "first_name": "MADHAVI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038151",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G10001399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.