Active NPI
Eman Mazloum, MD
- Family Medicine Physician
- Seaford, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C1-0012625
- Practice address
- 100 Rawlins Dr
Seaford, DE 19973-5881 - Phone
- (302) 990-3300
- NPI assigned
- Jul 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036143373 | IL | |
| Family Medicine Physician | 207Q00000X | C1-0012625 | DE | Primary |
Addresses
Primary practice location
100 Rawlins Dr
Seaford, DE 19973-5881
Mailing address
1836 South Macarthur Boulevard
Springfield, IL 62704
Phone (217) 789-1403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207Q00000X | 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
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
18947 John J Williams Hwy
Unit 303
Rehoboth Beach, DE 19971-4477
Phone (302) 644-0690
Hospital & facility affiliations
- Aveanna Home Healthcare
- Beebe Hospital Home Health
- Bayada Home Health Care at Bayhealth
- Beebe Medical Center
- Tidalhealth Nanticoke, Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0012625 | DE | MD | Family Medicine Physician |
| 036143373 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beebe Physician Network Inc. | Current | Accepting new patients | |
| State of Delaware-Stockley | Current | Accepting new patients | |
| Tidalhealth Physician Network, Inc. | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302
18947 John J Williams Hwy
Unit 303
Rehoboth Beach, DE 19971
Phone (302) 644-0690
801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178
100 Rawlins Dr
Seaford, DE 19973
Phone (302) 536-5415
Interoperability endpoints
- emazloum22713@beebehealth.direct-ci.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Lewes, DE
- NPI 1730133992
-
- Family Medicine Physician
- Seaford, DE
- NPI 1467534636
-
- Intellectual Disabilities Intermediate Care Facility
- Georgetown, DE
- NPI 1962557561
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dover, DE
- NPI 1689100620
-
- Home Health Agency
- Millsboro, DE
- NPI 1063513075
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
- Home Health Agency
- Milford, DE
- NPI 1487706263
-
- General Acute Care Hospital
- Seaford, DE
- NPI 1245214477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1265848980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 SOUTH MACARTHUR BOULEVARD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "62704",
"telephone_number": "217-789-1403",
"fax_number": "217-789-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RAWLINS DR",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199735881",
"telephone_number": "302-990-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZLOUM",
"first_name": "EMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036143373",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C1-0012625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207Q00000X",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seaford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.