Individual provider Active NPI

Kent A Sallee, MD

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1295797264
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0001606 Issued in DE
Practice address
4031 Kennett Pike
Wilmington, DE 19807-2047
Phone
(302) 757-3342
Fax
(610) 444-6055
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C1-0001606 DE Primary

Addresses

Primary practice location

4031 Kennett Pike
Wilmington, DE 19807-2047

Mailing address

407 Wren LN
Kennett Square, PA 19348-2662
Phone (302) 757-3342

Other practice location 1

185 Salem Church Rd
Newark, DE 19713-2942
Phone (302) 757-3342

Other identifiers 1

IdentifierTypeStateIssuer
0000187601MedicaidDE

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

LicenseStateTypeSpecialty
C1-0001606DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Specialists, P.a. CurrentSince Jun 5, 2012 Accepting new patients
Jeanne Jugan Residence Past Accepting new patients

Locations

1941 Limestone Rd
Ste 211
Wilmington, DE 19808
Phone (302) 998-1151

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1295797264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 WREN LN",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482662",
            "telephone_number": "302-757-3342",
            "fax_number": "610-444-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 KENNETT PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198072047",
            "telephone_number": "302-757-3342",
            "fax_number": "610-444-6055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Salem Church Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132942",
            "country_code": "US",
            "telephone_number": "302-757-3342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALLEE",
        "first_name": "KENT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0001606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000187601",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.