Organization Active NPI

United Medical, LLC

Doing business as United Medical Accountable Care Organization, LLC

  • Family Medicine Physician
  • Bear, DE
National Provider Identifier
1346619004
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0003127 Issued in DE
Legal business name
UNITED MEDICAL, LLC
Doing business as
United Medical Accountable Care Organization, LLC
Practice address
161 Becks Woods Dr
Bear, DE 19701-3833
Phone
(302) 451-5600
Fax
(866) 319-6725
NPI assigned
Sep 23, 2015
Last updated
Sep 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Mr. Kemal Erkan
Title
Chairman/ Ceo
Phone
(302) 451-5600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X C1-0003127 DE Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X C1-0009802 DE

Addresses

Primary practice location

161 Becks Woods Dr
Bear, DE 19701-3833

Mailing address

161 Becks Woods Dr
Bear, DE 19701-3833
Phone (302) 451-5600

Other names 1

  • United Medical Accountable Care Organization, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160719001575 DE Part B Supplier - Clinic/Group Practice 8325062144 Receives reassigned benefits from 9 practitioners
Practice locations: Bear, DE; Dover, DE; Newark, DE; Smyrna, DE; Wilmington, DE

National Provider Directory

National Provider Directory

Locations

121 Becks Woods Dr
Bear, DE 19701
Phone (302) 365-8333

537 Stanton Christiana Rd
#10
Newark, DE 19713

537 Stanton Christiana Rd
Ste 102
Newark, DE 19713
Phone (302) 892-9900

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d0607508-3922-4bbc-924a-d608b5ffe3b7/

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1346619004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 BECKS WOODS DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013833",
            "telephone_number": "302-451-5600",
            "fax_number": "866-319-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 BECKS WOODS DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013833",
            "telephone_number": "302-451-5600",
            "fax_number": "866-319-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "ERKAN",
        "authorized_official_first_name": "KEMAL",
        "authorized_official_title_or_position": "CHAIRMAN/ CEO",
        "authorized_official_telephone_number": "302-451-5600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0003127",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0009802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Medical Accountable Care Organization, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.