Individual provider Active NPI

Anh Dam, MD

  • Diagnostic Radiology Physician
  • Newark, DE
National Provider Identifier
1326007196
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C1-0006416 Issued in DE
Practice address
L6 Omega Dr
Newark, DE 19713-2077
Phone
(302) 738-9300
Fax
(302) 738-3791
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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 C1-0006416 DE Primary

Addresses

Primary practice location

L6 Omega Dr
Newark, DE 19713-2077

Mailing address

1601 Milltown Rd
Suite 13
Wilmington, DE 19808-4027
Phone (302) 993-2330

Other identifiers 2

IdentifierTypeStateIssuer
P00225774OtherRAILROAD MEDICARE #
1000036042MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050519000137 DE Practitioner - Diagnostic Radiology 7911948013 Reassigns benefits to 2 organizations
I20200706002201 NY Practitioner - Diagnostic Radiology 7911948013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Radiology Associates PA Diagnostic Radiology CurrentSince Dec 18, 2017 Accepting new patients
Abby Medical, LLC CurrentSince Aug 4, 2020 Accepting new patients
X-Ray Associates P.a. Past Accepting new patients
Christiana Care Health Initiatives Diagnostic Radiology Past Accepting new patients
Park West Radiology, PC Diagnostic Radiology PastSince Jul 1, 2008 Accepting new patients
X-Ray Associates, LLC Past Accepting new patients
Koniver Fiss Mansoory MD PA Diagnostic Radiology Past Accepting new patients

Locations

6L Omega Dr
Newark, DE 19713
Phone (302) 368-8150

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

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

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

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

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

1020 N Union St
Wilmington, DE 19805
Phone (302) 427-9855

3105 Limestone Rd
Ste 106
Wilmington, DE 19808
Phone (302) 995-2037

29493 Network Pl
Chicago, IL 60673

Organizations & group practices 8

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1326007196",
    "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": "198084027",
            "telephone_number": "302-993-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "L6 OMEGA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132077",
            "telephone_number": "302-738-9300",
            "fax_number": "302-738-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAM",
        "first_name": "ANH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0006416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "P00225774",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000036042",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.