Individual provider Active NPI

Jeena Mary Zachariah, M.D

  • Family Medicine Physician
  • New Castle, DE
National Provider Identifier
1285028233
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0012699 Issued in DE
Practice address
129 N Dupont Hwy
New Castle, DE 19720-3135
Phone
(302) 328-5150
NPI assigned
Mar 26, 2015
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0100503 MD
Family Medicine Physician 207Q00000X C1-0012699 DE Primary

Addresses

Primary practice location

129 N Dupont Hwy
New Castle, DE 19720-3135

Mailing address

129 N Dupont Hwy
New Castle, DE 19720-3135
Phone (302) 328-5150

Other practice location 1

310 E Pulaski Hwy
Elkton, MD 21921-6435
Phone (443) 485-6213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180212002302 DE Practitioner - Family PracticePractitioner - Hospitalist 5092006163 Reassigns benefits to 3 organizations
I20240610002530 MD Practitioner - Family Practice 5092006163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701

310 E Pulaski Hwy
Christianacare Gohealth Urge
Elkton, MD 21921-6435
Phone (443) 485-6213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0012699DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Quality Partners CurrentSince Jun 4, 2024 Accepting new patients
Christiana Care Health Services Inc Family Medicine CurrentSince Dec 18, 2018 Accepting new patients
Medexpress, Inc - Delaware Family Medicine Current Accepting new patients
Medexpress, Inc - Delaware Family Medicine CurrentSince Dec 24, 2017 Accepting new patients
Medexpress, Inc - Delaware Family Medicine CurrentSince Dec 24, 2017 Accepting new patients
Christiana Care Health Services Inc CurrentSince Dec 18, 2018 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

129 N DuPont Hwy
New Castle, DE 19720
Phone (302) 328-5150

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

2722 Concord Pike
Wilmington, DE 19803
Phone (302) 477-1406

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780

310 E Pulaski Hwy
Elkton, MD 21921
Phone (443) 485-6213

101 North East Plz
North East, MD 21901
Phone (410) 543-2020

Interoperability endpoints

  • Direct secure messaging: jeena.zachariah.1@24921.direct.athenahealth.com
  • Direct secure messaging: jeena.zachariah@ghuccc.eclinicaldirectplus.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1285028233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N DUPONT HWY",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197203135",
            "telephone_number": "302-328-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N DUPONT HWY",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197203135",
            "telephone_number": "302-328-5150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E Pulaski Hwy",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216435",
            "country_code": "US",
            "telephone_number": "443-485-6213",
            "fax_number": "443-485-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACHARIAH",
        "first_name": "JEENA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0100503",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0012699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

Verify at the official NPI Registry.