Organization Active NPI

Irene C. Viola, MD, PA

  • Internal Medicine Physician
  • Lewes, DE
National Provider Identifier
1265515464
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C1-0006063 Issued in DE
Legal business name
IRENE C. VIOLA, MD, PA
Practice address
1606 Savannah Rd
Suite 8
Lewes, DE 19958-1656
Phone
(302) 644-1450
Fax
(302) 644-0650
NPI assigned
Oct 23, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Irene C Viola, MDNPI 1386699122
Title
Physician/Owner
Phone
(302) 644-1450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C1-0006063 DE Primary
Rheumatology Physician 207RR0500X C1-0006063 DE

Addresses

Primary practice location

1606 Savannah Rd
Suite 8
Lewes, DE 19958-1656

Mailing address

1606 Savannah Rd
Suite 8
Lewes, DE 19958-1656
Phone (302) 644-1450

Other identifiers 5

IdentifierTypeStateIssuer
1000032913MedicaidDE
DC1004OtherDERAILROAD MEDICARE
2291852000OtherDEAMERIHEALTH RHEU
2363473000OtherDEAMERIHEALTH-PCP
1000032913OtherDEDELAWARE PHYS CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712000864 DE Part B Supplier - Clinic/Group Practice 3274511647 Receives reassigned benefits from 1 practitioner
Practice locations: Lewes, DE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1265515464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 SAVANNAH RD",
            "address_2": "SUITE 8",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581656",
            "telephone_number": "302-644-1450",
            "fax_number": "302-644-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 SAVANNAH RD",
            "address_2": "SUITE 8",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581656",
            "telephone_number": "302-644-1450",
            "fax_number": "302-644-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE C. VIOLA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VIOLA",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "302-644-1450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0006063",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "DE",
            "license": "C1-0006063",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000032913",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC1004",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH RHEU",
            "identifier": "2291852000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH-PCP",
            "identifier": "2363473000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE PHYS CARE",
            "identifier": "1000032913",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.