Individual provider Active NPI

Galicano Fernando Inguito Jr., MD

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1265446934
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10003906 Issued in DE
Practice address
15 Omega Dr
Building K, Suite # 3
Newark, DE 19713-2057
Phone
(302) 368-5003
Fax
(302) 368-5595
NPI assigned
Jul 28, 2006
Last updated
Jul 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C10003906 DE Primary

Addresses

Primary practice location

15 Omega Dr
Building K, Suite # 3
Newark, DE 19713-2057

Mailing address

15 Omega Dr
Building K, Suite # 3
Newark, DE 19713-2057
Phone (302) 368-5003

Other identifiers 7

IdentifierTypeStateIssuer
0313629000OtherAMERIHEALTH
0000844901MedicaidDE
0000844901OtherDELAWARE PHYSICIANS CARE
2148OtherCOVENTRY
577489OtherAETNA US HEALTHCARE
863633OtherMAMSI
G58695OtherDEBCBS

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
I20101213000173 DE Practitioner - Family Practice 0648467985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware Family Medicine, LLCGroup PAC ID 9638338304, 2 clinicians

Practice addresses (Care Compare)

15 Omega Dr
BLDG K
Newark, DE 19713-2057
Phone (302) 368-5003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as apm
Quality
81.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Family Medicine, LLC Family Medicine CurrentSince Feb 15, 2012 Accepting new patients
South Sound Inpatient Physicians, PLLC Family Medicine Past Accepting new patients
Christiana Medical Group, PA Past Accepting new patients

Locations

15 Omega Dr
#K
Newark, DE 19713
Phone (302) 368-5003

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1265446934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OMEGA DR",
            "address_2": "BUILDING K, SUITE # 3",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132057",
            "telephone_number": "302-368-5003",
            "fax_number": "302-368-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OMEGA DR",
            "address_2": "BUILDING K, SUITE # 3",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132057",
            "telephone_number": "302-368-5003",
            "fax_number": "302-368-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGUITO",
        "first_name": "GALICANO",
        "middle_name": "FERNANDO",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10003906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0313629000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000844901",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE PHYSICIANS CARE",
            "identifier": "0000844901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "2148",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "577489",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "863633",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G58695",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.