Individual provider Active NPI

John E. Lahaniatis, M.D.

  • Radiation Oncology Physician
  • Dover, DE
National Provider Identifier
1326023102
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
C1-0005989 Issued in DE
Practice address
640 S State St FL 1
Dover, DE 19901-3530
Phone
(302) 674-4401
Fax
(302) 674-4129
NPI assigned
Dec 14, 2005
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X C1-0005989 DE Primary

Addresses

Primary practice location

640 S State St FL 1
Dover, DE 19901-3530

Mailing address

640 S State Street
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 480-1688

Other practice location 1

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 430-5303

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
I20040429001051 DE Practitioner - Radiation Oncology 2961499074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Hahnemann University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 430-5738

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7408

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Radiation Associates, PA Radiation Oncology CurrentSince May 5, 2006 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Sep 1, 2010 Accepting new patients
Bayhealth Medical Center, Inc. Radiation Oncology CurrentSince Jul 1, 2019 Accepting new patients
Bayhealth Medical Center, Inc Radiation Oncology CurrentSince Jul 1, 2019 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Sep 1, 2010 Accepting new patients
Bayhealth Medical Center, Inc. Past Accepting new patients
Bayhealth Medical Center, Inc Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
#1
Dover, DE 19901

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

640 S State St
Fl 1
Dover, DE 19901
Phone (302) 674-4401

640 S State St
Fl 3
Dover, DE 19901

793 S Queen St
Dover, DE 19904
Phone (302) 674-4401

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

21 W Clarke Ave
Milford, DE 19963
Phone (302) 422-3311

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1326023102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S STATE STREET",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-480-1688",
            "fax_number": "302-480-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S STATE ST FL 1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-674-4401",
            "fax_number": "302-674-4129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Wellness Way",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199634364",
            "country_code": "US",
            "telephone_number": "302-430-5303",
            "fax_number": "302-430-5023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAHANIATIS",
        "first_name": "JOHN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "DE",
            "license": "C1-0005989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.