A Douglas Chervenak, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C2-0003255 Issued in DE

Practice address

671 S Carter Rd Ste 12
Smyrna, DE 19977-7727

Phone

(302) 653-1050

Fax

(302) 653-1089

NPI assigned

Jan 11, 2007

Last updated

Aug 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1973

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care at Bayhealth Home health agency, Dover, DE, CCN 087024
• Amedisys Delaware, LLC Home health agency, Dover, DE, CCN 087007
• Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
• Christiana Hospital Hospital, Newark, DE, CCN 080001
• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Merit-based Incentive Payment System (MIPS)

Final score

19.31 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

64.36

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• A Douglas Chervenak DO PA

  • Family Medicine Physician
  • Smyrna, DE
  • NPI 1376692251
  Medicare reassignment NPD

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

• Amedisys Delaware, L.L.C.

  dba Amedisys Home Health

  • Home Health Agency
  • Bear, DE
  • NPI 1801881669
  Care Compare affiliation Name & address match
• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Sussex Campus

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Care Compare affiliation
• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Kent Campus

  • General Acute Care Hospital
  • Dover, DE
  • NPI 1467546135
  Care Compare affiliation
• Bbkshh, LLC

  dba BAYADA Home Health Care at Bayhealth

  • Home Health Agency
  • Dover, DE
  • NPI 1689100620
  Care Compare affiliation
• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1356491484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N CARTERS RD",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771282",
            "telephone_number": "302-653-1050",
            "fax_number": "302-653-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 S CARTER RD STE 12",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199777727",
            "telephone_number": "302-653-1050",
            "fax_number": "302-653-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERVENAK",
        "first_name": "A",
        "middle_name": "DOUGLAS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0003255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000468803",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Casperson
• Olivia Castro, D.O
• Adam B Center, B.S. CADC
• Krishna Chaudhari
• Cherish Life Services, LLC
• Adele Chiasson
• Christiana Care Health Initiatives (Medical Aid Unit at Smyrna)
• Christiana Care Health Services Inc (CCHS Medical Aid Units)
• Christiana Care Home Health and Community Services, Inc. (Christiana Care Visiting Nurse Association)
• Christiana Care Quality Partners (ChristianaCare GoHealth Urgent Care)

• Family Medicine Physician in Smyrna, DE
• Providers in Smyrna, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.

Verify at the official NPI Registry.