Active NPI
Anh Dam, MD
- Diagnostic Radiology Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- C1-0006416
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00225774 | Other | RAILROAD MEDICARE # | |
| 1000036042 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Abby Medical, LLC | Current | 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 | Past | 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.
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1740706175
DE, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1821036807
NY
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1417993189
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Wilmington, DE
- NPI 1083615561
Diagnostic Radiology
-
- Specialist
- Hockessin, DE
- NPI 1497711675
-
- Specialist
- Hockessin, DE
- NPI 1942266143
-
- Diagnostic Ultrasound Physician
- New York, NY
- NPI 1003855404
Diagnostic Radiology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.