Delaware Medical Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DELAWARE MEDICAL GROUP, LLC

Practice address

4512 Kirkwood Hwy Ste 205
Wilmington, DE 19808-5123

Phone

(302) 660-7302

Fax

(302) 995-5426

NPI assigned

Jun 3, 2006

Last updated

Oct 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stuart FelzerNPI 1508804402

Title

President

Phone

(302) 633-1442

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Limestone Medical Aid Unit, LLC

  • Urgent Care Clinic/Center
  • Wilmington, DE
  • NPI 1720203821

  Member Of

  NPD member

Locations

Practitioners 24

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.

• Stuart Felzer, MD

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1508804402
  Medicare reassignment Care Compare group NPD Authorized official
• Mary A High, R.N., M.S.N.

  • Adult Health Nurse Practitioner
  • Wilmington, DE
  • NPI 1457350019
  Medicare reassignment Care Compare group NPD
• Jill Elise Mackey, M.D.

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1578505863
  Medicare reassignment Care Compare group NPD
• Kevin William O'Hara, MD

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1538100672
  Medicare reassignment Care Compare group NPD
• David Axon, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Wilmington, DE
  • NPI 1568404424
  NPD (past)
• Kunal Pikoo Bhagat, MD

  • Internal Medicine Physician
  • Newark, DE
  • NPI 1023080520
  NPD (past)
• Gina Chan, MD

  • Legal Medicine
  • Wilmington, DE
  • NPI 1063477792
  NPD (past)
• Uma Chatterjee, MD

  • Obstetrics & Gynecology Physician
  • Newark, DE
  • NPI 1689760290
  NPD (past)
• Allison Bronwen Evans, M.D.

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1558635714
  NPD (past)
• Luis M Garcia Jr., DPM FACFAS

  • Podiatrist
  • Wilmington, DE
  • NPI 1306834585
  NPD (past)
• Erik S Marshall, M.D.

  • Cardiovascular Disease Physician
  • Newark, DE
  • NPI 1144223850
  NPD (past)
• Christine Masiello, NP

  • Family Nurse Practitioner
  • Wilmington, DE
  • NPI 1821035734
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1376581363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 KIRKWOOD HWY STE 205",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085123",
            "telephone_number": "302-660-7302",
            "fax_number": "302-995-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 KIRKWOOD HWY STE 205",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085123",
            "telephone_number": "302-660-7302",
            "fax_number": "302-995-5426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Limestone Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198085553",
            "country_code": "US",
            "telephone_number": "302-995-2090",
            "fax_number": "302-995-5426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1941 Limestone Rd Ste 218",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198085400",
            "country_code": "US",
            "telephone_number": "302-633-1442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DELAWARE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "FELZER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-633-1442"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001195402",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.