Elva Grace Delport, MKD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

C10005721 Issued in DE

Practice address

4735 Ogletown-Stanton Rd
Suite 2210
Newark, DE 19713

Phone

(302) 623-4144

Fax

(302) 623-4147

NPI assigned

Mar 31, 2006

Last updated

Nov 25, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Elva Grace Pearson Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHGGAD

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.

• Christiana Spine Center PA

  • Physical Medicine & Rehabilitation Physician
  • Newark, DE
  • NPI 1821059387
  Medicare reassignment NPD
• Christiana Spine Center PA

  dba Christiana Spine Center Imaging

  • Diagnostic Ultrasound Physician
  • Newark, DE
  • NPI 1427536333
  NPD
• Christiana Spine Ambulatory Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Newark, DE
  • NPI 1275774747
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1316908866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN-STANTON RD",
            "address_2": "SUITE 2210",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-623-4144",
            "fax_number": "302-623-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN-STANTON RD",
            "address_2": "SUITE 2210",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-623-4144",
            "fax_number": "302-623-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELPORT",
        "first_name": "ELVA",
        "middle_name": "GRACE",
        "credential": "MKD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DE",
            "license": "C10005721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DE",
            "identifier": "510110596",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2207837",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0296025000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "9132",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2114925",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELVA",
            "last_name": "PEARSON",
            "middle_name": "GRACE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Delmar
• Delmarva Pain & Spine Center, LLC
• Ora Edwardena Deloatch
• Stephanie Delpino
• Anton Grant Delport, MD
• Elaine Deluca
• Christine Demart
• Christopher Albert Demauro, M.D.
• Gregory Wong Demeo, D.O.
• Philip Bruce Demond, D,C,

• Physical Medicine & Rehabilitation Physician in Newark, DE
• Providers in Newark, DE by specialty
• Physical Medicine & Rehabilitation Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.