Individual provider Active NPI

Louis J Papa, D.O.

  • Psychiatry Physician
  • Dover AFB, DE
National Provider Identifier
1366459133
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2002-01616 Issued in NC
Practice address
300 Tuskeegee Airman Way
436TH Medical Group
Dover AFB, DE 19901-4704
Phone
(302) 677-2674
NPI assigned
Aug 2, 2006
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2002-01616 NC Primary

Addresses

Primary practice location

300 Tuskeegee Airman Way
436TH Medical Group
Dover AFB, DE 19901-4704

Mailing address

6029 Hazelnut Dr
Dover, DE 19901-5903
Phone (252) 367-0234

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
I20171220003058 DE Practitioner - Psychiatry 7214295203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mental Edge Counseling, LLCGroup PAC ID 2668750324, 21 clinicians

Practice addresses (Care Compare)

1198 S Governors Ave
Suite 201
Dover, DE 19904-6930
Phone (302) 382-8698

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002-01616NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Edge Counseling, LLC CurrentSince Oct 17, 2017 Accepting new patients

Locations

1058 S Governors Ave
#102
Dover, DE 19904
Phone (302) 382-8698

1198 S Governors Ave
Ste 201
Dover, DE 19904
Phone (302) 382-8698

Organizations & group practices 1

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1366459133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 HAZELNUT DR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199015903",
            "telephone_number": "252-367-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TUSKEEGEE AIRMAN WAY",
            "address_2": "436TH MEDICAL GROUP",
            "city": "DOVER AFB",
            "state": "DE",
            "postal_code": "199014704",
            "telephone_number": "302-677-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPA",
        "first_name": "LOUIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2002-01616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover AFB, DE

Sources for this page

Verify at the official NPI Registry.