Individual provider Active NPI

Molly Tidey Sandrian, D.O.

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1407086812
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C2-0010488 Issued in DE
Practice address
27 Marrows Rd
Newark, DE 19713-3701
Phone
(302) 455-0900
Fax
(302) 738-4706
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C2-0010488 DE
Internal Medicine Physician 207R00000X C2-0010488 DE
Family Medicine Physician 207Q00000X C2-0010488 DE Primary

Addresses

Primary practice location

27 Marrows Rd
Newark, DE 19713-3701

Mailing address

PO Box 151
New Castle, DE 19720-0151
Phone (302) 652-2455

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
I20131011000754 DE Practitioner - Pediatric MedicinePractitioner - Internal Medicine 8325282221 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians
Westside Family Healthcare, Inc.Group PAC ID 6800706599, 58 clinicians

Practice addresses (Care Compare)

239 Christiana Rd
New Castle, DE 19720-2907
Phone (302) 327-7630

27 Marrows Rd
Newark, DE 19713-3701
Phone (302) 455-0900

501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 320-4410

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C2-0010488DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Family Medicine CurrentSince Jun 4, 2017 Accepting new patients
Christiana Care Health Services Inc Family Medicine CurrentSince Jun 17, 2017 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Westside Family Healthcare, Inc. Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jun 4, 2017 Accepting new patients
Westside Family Healthcare, Inc. CurrentSince Aug 12, 2013 Accepting new patients

Locations

404 Foxhunt Dr
Bear, DE 19701
Phone (302) 832-8331

1020 Forrest Ave
Dover, DE 19904
Phone (302) 656-8292

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

239 Christiana Rd
New Castle, DE 19720
Phone (302) 322-0860

239 Christiana Rd
Ofc
New Castle, DE 19720
Phone (302) 327-7630

27 Marrows Rd
Newark, DE 19713
Phone (302) 455-0900

908 E 16th St
Ste B
Wilmington, DE 19802
Phone (302) 225-1800

501 W 14th St
Fl Ctr
Wilmington, DE 19801

1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

Interoperability endpoints

  • Direct secure messaging: mollysandrian@wfh.allscriptsdirect.net

Organizations & group practices 6

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.

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1407086812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197200151",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MARROWS RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133701",
            "telephone_number": "302-455-0900",
            "fax_number": "302-738-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDRIAN",
        "first_name": "MOLLY",
        "middle_name": "TIDEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C2-0010488",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C2-0010488",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0010488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.