Individual provider Active NPI

Claude J Dimarco, DO

  • Otolaryngology Physician
  • Seaford, DE
National Provider Identifier
1386727097
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C20003456 Issued in DE
Practice address
8468 Herring Run Rd
Seaford, DE 19973-5763
Phone
(302) 629-3400
Fax
(302) 629-5300
NPI assigned
Oct 24, 2006
Last updated
Apr 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X C20003456 DE Primary

Addresses

Primary practice location

8468 Herring Run Rd
Seaford, DE 19973-5763

Mailing address

8468 Herring Run Rd
Seaford, DE 19973-5763
Phone (302) 629-3400

Other identifiers 9

IdentifierTypeStateIssuer
510413559OtherDECOVENTRY
510413559OtherDEAETNA
0000213203MedicaidDE
040016600OtherDERAILROAD MEDICARE
0424414000OtherDEAMERIHEALTH
0000213203OtherDEDELAWARE PHYS CARE
510413559OtherDECIGNA
E70145OtherDEBCBS DE
397331OtherDEALLIANCE, MAMSI, OPT CHOI

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
I20091209000026 DE Practitioner - Allergy/Immunology 6901945609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Philadelphia College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8468 Herring Run Rd
Seaford, DE 19973-5763
Phone (302) 629-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C20003456DEMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT & Allergy Center, P.a. Otolaryngology CurrentSince Oct 16, 2001 Accepting new patients

Locations

8468 Herring Run Rd
Seaford, DE 19973
Phone (302) 629-3400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bde9959c-b44e-4698-a1d4-e1ee4cc98a86/

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1386727097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8468 HERRING RUN RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199735763",
            "telephone_number": "302-629-3400",
            "fax_number": "302-629-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8468 HERRING RUN RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199735763",
            "telephone_number": "302-629-3400",
            "fax_number": "302-629-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARCO",
        "first_name": "CLAUDE",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DE",
            "license": "C20003456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "510413559",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "510413559",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000213203",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040016600",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0424414000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE PHYS CARE",
            "identifier": "0000213203",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "510413559",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DE",
            "identifier": "E70145",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE, MAMSI, OPT CHOI",
            "identifier": "397331",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.