Individual provider Active NPI

Ahila Lakshmi Kugan

  • Pediatrics Physician
  • Wilmington, DE
National Provider Identifier
1346507134
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C1-0024386 Issued in DE
Practice address
3521 Silverside Rd Ste 1F
Wilmington, DE 19810-4900
Phone
(302) 478-2613
NPI assigned
Apr 18, 2012
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD455542 PA
Pediatrics Physician 208000000X C1-0024386 DE Primary

Addresses

Primary practice location

3521 Silverside Rd Ste 1F
Wilmington, DE 19810-4900

Mailing address

401 Route 73 N BLDG 10
Marlton, NJ 08053-3425
Phone (856) 872-7055

Other names 1

  • Ahila Lakshmi Kumar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160512002311 PA Practitioner - Pediatric Medicine 1557650686 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0024386DEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince May 16, 2016 Accepting new patients
Lancaster General Medical Group CurrentSince May 16, 2016 Accepting new patients
Brandywine Pediatrics, P.a. Pediatrics Current Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Advocare , LLC Pediatrics PastSince Oct 20, 2024 Accepting new patients
Advocare , LLC Pediatrics PastSince Oct 20, 2024 Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients

Locations

3521 Silverside Rd
Ste 1F
Wilmington, DE 19810
Phone (302) 478-1885

1570 Fruitville Pike
Ste 100
Lancaster, PA 17601
Phone (717) 569-6481

160 N Pointe Blvd
Ste 110
Lancaster, PA 17601
Phone (717) 393-5887

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

540 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-4950

51 Peters Rd
Ste 202
Lititz, PA 17543
Phone (717) 569-6481

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Interoperability endpoints

  • Direct secure messaging: ahila.kugan@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 7

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": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1346507134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N BLDG 10",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533425",
            "telephone_number": "856-872-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 SILVERSIDE RD STE 1F",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104900",
            "telephone_number": "302-478-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUGAN",
        "first_name": "AHILA",
        "middle_name": "LAKSHMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD455542",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0024386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AHILA",
            "last_name": "KUMAR",
            "middle_name": "LAKSHMI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.