Active NPI
Valerie J Gilliam, MD
- Diagnostic Radiology Physician
- Newark, DE
National Provider Identifier
1285650986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD069883L
- Practice address
- J24 Omega Drive
Newark, DE 19713-2060 - Phone
- (302) 738-9100
- Fax
- (302) 738-9748
- NPI assigned
- Jul 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD069883L | PA | Primary |
Addresses
Primary practice location
J24 Omega Drive
Newark, DE 19713-2060
Mailing address
1601 Milltown Rd
Suite 13
Wilmington, DE 19808-4084
Phone (302) 993-2330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Past | Accepting new patients | |
| Imaging Professionals of Pennsylvania PC | Diagnostic Radiology | Past | Accepting new patients |
| Omega Nuclear LLC | Past | Accepting new patients | |
| Jefferson University Physicians | Diagnostic Radiology | Past | Accepting new patients |
| Delaware Radiology Associates PA | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 5
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.
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Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1285650986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 MILLTOWN RD",
"address_2": "SUITE 13",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198084084",
"telephone_number": "302-993-2330",
"fax_number": "302-993-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "J24 OMEGA DRIVE",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132060",
"telephone_number": "302-738-9100",
"fax_number": "302-738-9748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM",
"first_name": "VALERIE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD069883L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.