Active NPI
Andrea Kahn, M.D
- Ophthalmology Physician
- Seaford, DE
National Provider Identifier
1285716043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- C1-0002547
- Practice address
- 110 S North St
Seaford, DE 19973-3508 - Phone
- (302) 629-0656
- Fax
- (302) 629-3076
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | C1-0002547 | DE | Primary |
Addresses
Primary practice location
110 S North St
Seaford, DE 19973-3508
Mailing address
110 S North St
Seaford, DE 19973-3508
Phone (302) 629-0656
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180002813 | Other | DE | RAILROAD MEDICARE |
| 1285716043 | Medicaid | DE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0002547 | DE | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Kahn | Past | Accepting new patients | |
| Andrea Kahn | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Seaford, DE
- NPI 1942362850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1285716043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S NORTH ST",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199733508",
"telephone_number": "302-629-0656",
"fax_number": "302-629-3076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S NORTH ST",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199733508",
"telephone_number": "302-629-0656",
"fax_number": "302-629-3076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "ANDREA",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "DE",
"license": "C1-0002547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180002813",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285716043",
"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 Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.