Individual provider Active NPI

Gurjeet Kaur, M.D.

  • General Practice Physician
  • Seaford, DE
National Provider Identifier
1457608754
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C10011446 Issued in DE
Practice address
49 Fallon Ave
Nemours Dupont Pediatrics, Seaford
Seaford, DE 19973-1577
Phone
(302) 629-5030
Fax
(302) 629-5035
NPI assigned
Aug 7, 2012
Last updated
Nov 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X C10011446 DE Primary

Addresses

Primary practice location

49 Fallon Ave
Nemours Dupont Pediatrics, Seaford
Seaford, DE 19973-1577

Mailing address

PO Box 191
Rockland, DE 19732-0191
Phone (904) 697-4201

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
I20160718000481 DE Practitioner - Pediatric Medicine 1052603727 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Jun 6, 2016 Accepting new patients
The Nemours Foundation CurrentSince Jun 6, 2016 Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

200 Cleaver Farms Rd
Ste 201
Middletown, DE 19709
Phone (302) 378-5100

49 Fallon Ave
Seaford, DE 19973
Phone (302) 629-5030

1600 Rockland Rd
Wilmington, DE 19803

Interoperability endpoints

  • Direct secure messaging: gkaur55870@direct.nemours.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1457608754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "904-697-4201",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 FALLON AVE",
            "address_2": "NEMOURS DUPONT PEDIATRICS, SEAFORD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199731577",
            "telephone_number": "302-629-5030",
            "fax_number": "302-629-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "GURJEET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DE",
            "license": "C10011446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.