Individual provider Active NPI

Deborah T Kirk, M.D.

  • Family Medicine Physician
  • Smyrna, DE
National Provider Identifier
1427069475
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C100006527 Issued in DE
Practice address
100 South Main Street
Suite 205
Smyrna, DE 19977-1373
Phone
(302) 653-6022
Fax
(302) 389-1094
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C100006527 DE Primary

Addresses

Primary practice location

100 South Main Street
Suite 205
Smyrna, DE 19977-1373

Mailing address

100 South Main Street
Suite 205
Smyrna, DE 19977
Phone (302) 653-6022

Other identifiers 1

IdentifierTypeStateIssuer
1000024655MedicaidDE

Other names 1

  • Deborah T Neuberger Former name

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
I20040405001110 DE Practitioner - Family Practice 9133112352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 S Main St
Suite 205
Smyma, DE 19977-1479
Phone (302) 653-6022

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C100006527DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kirk Family Practice, LLC Family Medicine CurrentSince Dec 1, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

100 S Main St
Ste 205
Smyrna, DE 19977
Phone (302) 653-6022

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1427069475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTH MAIN STREET",
            "address_2": "SUITE 205",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "19977",
            "telephone_number": "302-653-6022",
            "fax_number": "302-389-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH MAIN STREET",
            "address_2": "SUITE 205",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771373",
            "telephone_number": "302-653-6022",
            "fax_number": "302-389-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "DEBORAH",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C100006527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000024655",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "NEUBERGER",
            "middle_name": "T",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Smyrna, DE

Sources for this page

Verify at the official NPI Registry.