Individual provider Active NPI

Rithikaa Ellangovan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Milford, DE
National Provider Identifier
1447812615
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
C1-0026809 Issued in DE
Practice address
101 Wellness Way Ste 200
Milford, DE 19963-4394
Phone
(302) 422-1251
Fax
(302) 424-6513
NPI assigned
Jul 8, 2019
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X C1-0026809 DE Primary

Addresses

Primary practice location

101 Wellness Way Ste 200
Milford, DE 19963-4394

Mailing address

640 S. State St.,Mail Code 3055
Dover, DE 19901-3530
Phone (302) 422-1251

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
I20240723000007 DE Practitioner - Endocrinology 2769928100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 744-7162

101 Wellness Way
Milford, DE 19963-4366

18383 Hudson Rd
FL 2
Milton, DE 19968-3103
Phone (302) 424-7522

640 S State St
Dover, DE 19901-3530

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0026809DEMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc Endocrinology, Diabetes & Metabolism CurrentSince Jul 29, 2024 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jul 29, 2024 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

101 Wellness Way
Ste 200
Milford, DE 19963
Phone (302) 422-1251

18383 Hudson Rd
Fl 2
Milton, DE 19968
Phone (302) 725-3499

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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1447812615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE ST.,MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-422-1251",
            "fax_number": "302-424-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WELLNESS WAY STE 200",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199634394",
            "telephone_number": "302-422-1251",
            "fax_number": "302-424-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLANGOVAN",
        "first_name": "RITHIKAA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "DE",
            "license": "C1-0026809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.