Active NPI
Ammar Alzoubi, MD
- Hematology & Oncology Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 294498
- Practice address
- 4701 Ogletown Stanton Rd Ste 2300
Newark, DE 19713-2055 - Phone
- (023) 731-7782
- NPI assigned
- Oct 31, 2006
- Last updated
- Aug 3, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301085285 | MI | |
| Hematology (Internal Medicine) Physician | 207RH0000X | C1-002570 | DE | |
| Hematology (Internal Medicine) Physician | 207RH0000X | 294498 | NY | |
| Hematology (Internal Medicine) Physician | 207RH0000X | 12203 | ND | |
| Hematology (Internal Medicine) Physician | 207RH0000X | 4301085285 | MI | |
| Hematology & Oncology Physician | 207RH0003X | 294498 | NY | Primary |
| Medical Oncology Physician | 207RX0202X | 4301085285 | MI |
Addresses
Primary practice location
4701 Ogletown Stanton Rd Ste 2300
Newark, DE 19713-2055
Mailing address
200 Hygeia Dr Ste 2300
Newark, DE 19713-2049
Other practice location 1
601 Elmwood Ave.
Rochester, NY 14642
Phone (585) 275-5823
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4721212 | Medicaid | MI | |
| 16727 | Medicaid | ND |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aalzoubi2056327@direct.sanfordhealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Christiana Care Health Services Inc
Practice addresses (Care Compare)
4701 Ogletown Stanton Rd
Suite 4200
Newark, DE 19713-2075
Phone (302) 737-7700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301085285 | MI | MD | Hematology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Medical Oncology | Current | Accepting new patients |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Hematology | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701
200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362
4701 Ogletown Stanton Rd
Ste 2200
Newark, DE 19713
Phone (302) 366-1200
4701 Ogletown Stanton Rd
Ste 2300
Newark, DE 19713
Phone (302) 623-4510
4701 Ogletown Stanton Rd
Ste 4200
Newark, DE 19713
Phone (302) 658-7533
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
Interoperability endpoints
- aalzoubi138239@direct.urmc.rochester.edu
- aalzoubi2056327@direct.sanfordhealth.org
- ammar.alzoubi@dclp.ikm.direct-ci.com
Organizations & group practices 5
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.
-
dba CCHS Pathology
- Anatomic Pathology Physician
- Newark, DE
- NPI 1245674993
Medical Oncology
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
dba CCHS Specialty Services
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Newark, DE
- NPI 1982778270
Hematology
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bayhealth Hospital, Kent Campus
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1386720340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HYGEIA DR STE 2300",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 OGLETOWN STANTON RD STE 2300",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132055",
"telephone_number": "023-731-7782"
}
],
"practiceLocations": [
{
"address_1": "601 Elmwood Ave.",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "14642",
"country_code": "US",
"telephone_number": "585-275-5823",
"fax_number": "585-273-1051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALZOUBI",
"first_name": "AMMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301085285",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "DE",
"license": "C1-002570",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "NY",
"license": "294498",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "ND",
"license": "12203",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "MI",
"license": "4301085285",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "294498",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MI",
"license": "4301085285",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4721212",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16727",
"state": "ND"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aalzoubi2056327@direct.sanfordhealth.org",
"affiliation": "N",
"address_1": "820 4th St N",
"city": "Fargo",
"state": "ND",
"country_code": "US",
"postal_code": "581024539",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- 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.