Active NPI
Lauren W. Averill, MD
- Pediatric Radiology Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- C10008484
- Practice address
- 1600 Rockland Rd
Wilmington, DE 19803-3607 - Phone
- (302) 651-4000
- Fax
- (302) 651-4945
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | C10008484 | DE | Primary |
Addresses
Primary practice location
1600 Rockland Rd
Wilmington, DE 19803-3607
Mailing address
PO Box 191
Provider Enrollment Dept
Rockland, DE 19732-0191
Phone (302) 651-6212
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4133366 | Medicaid | MD | |
| 102070061 | Medicaid | PA | |
| 0142212 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, FL, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080910000399 | DE | Practitioner - Diagnostic Radiology | 6406922764 | Reassigns benefits to 1 organization |
| I20120605000724 | FL | Practitioner - Diagnostic Radiology | 6406922764 | Reassigns benefits to 1 organization |
| I20130103000210 | NJ | Practitioner - Diagnostic Radiology | 6406922764 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Washington University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Nemours Foundation
Practice addresses (Care Compare)
1600 Rockland Rd
Wilmington, DE 19803-3607
Phone (302) 651-4200
807 Childrens Way
Childrens Clinic
Jacksonville, FL 32207-8426
Phone (904) 390-3600
Hospital & facility affiliations
- Nemours Children'S Hospital, Delaware
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nemours New Jersey Physician Practice, P.C. | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients |
Locations
1600 Rockland Rd
Wilmington, DE 19803
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000
1000 White Horse Rd
Ste 204
Voorhees, NJ 08043
Phone (856) 309-5808
1280 Almonesson Rd
Woodbury, NJ 08096
Phone (856) 345-1401
101 Applied Bank Blvd
Ste 11
Glen Mills, PA 19342
Phone (484) 800-8630
1676 Lancaster Ave
Paoli, PA 19301
Phone (610) 644-9233
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Wilmington, DE
- NPI 1386830859
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
- Children's Hospital
- Orlando, FL
- NPI 1245520386
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
Hospital & facility affiliations 1
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": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1386798403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"address_2": "PROVIDER ENROLLMENT DEPT",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191",
"telephone_number": "302-651-6212",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 ROCKLAND RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198033607",
"telephone_number": "302-651-4000",
"fax_number": "302-651-4945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERILL",
"first_name": "LAUREN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "DE",
"license": "C10008484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4133366",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102070061",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0142212",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.