Individual provider Active NPI

Garth Koniver, MD

  • Diagnostic Radiology Physician
  • Wilmington, DE
National Provider Identifier
1306838529
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C10000756 Issued in DE
Practice address
1701 Augustine Cut Off
Wilmington, DE 19803-4415
Phone
(302) 652-3016
Fax
(302) 571-6270
NPI assigned
Aug 16, 2005
Last updated
Aug 31, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C10000756 DE Primary

Addresses

Primary practice location

1701 Augustine Cut Off
Wilmington, DE 19803-4415

Mailing address

1701 Augustine Cut Off
Wilmington, DE 19803-4415
Phone (302) 652-3016

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101227000568 DE Practitioner - Diagnostic Radiology 8820178833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Radiology Associates PAGroup PAC ID 1557620036, 61 clinicians

Practice addresses (Care Compare)

2055 Limestone Rd
Wilmington, DE 19808-5536
Phone (877) 990-2121

24 Omega Dr
Newark, DE 19713-6020
Phone (302) 738-9100

3206 Concord Pike
Wilmington, DE 19803-5015
Phone (302) 654-5300

3401 Brandywine Pkwy
Wilmington, DE 19803-1554
Phone (302) 533-2160

40 Polly Drummond Hill Rd
BLDG 4
Newark, DE 19711-5703
Phone (302) 737-5990

710 S Queen St
Delaware Imaging Network
Dover, DE 19904-3567
Phone (302) 734-9888

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10000756DEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Radiology Associates PA Diagnostic Radiology CurrentSince Dec 18, 2017 Accepting new patients
Abby Medical, LLC CurrentSince Sep 19, 2012 Accepting new patients

Locations

1 Centurian Dr
Ste 106
Newark, DE 19713
Phone (302) 322-9240

40 Polly Drummond Hill Rd
Bldg 4
Newark, DE 19711
Phone (302) 737-5990

1701 Augustine Cut Off
Ste 4
Wilmington, DE 19803
Phone (302) 652-3016

3401 Brandywine Pkwy
Ste 102
Wilmington, DE 19803
Phone (302) 533-2160

29493 Network Pl
Chicago, IL 60673

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, 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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1306838529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 AUGUSTINE CUT OFF",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034415",
            "telephone_number": "302-652-3016",
            "fax_number": "302-571-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 AUGUSTINE CUT OFF",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034415",
            "telephone_number": "302-652-3016",
            "fax_number": "302-571-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIVER",
        "first_name": "GARTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C10000756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.