Individual provider Active NPI

Tresa Reena Mascarenhas, MBBS

  • Infectious Disease Physician
  • Newark, DE
National Provider Identifier
1477846079
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
C10011090 Issued in DE
Practice address
537 Stanton Christiana Rd Ste 202
Newark, DE 19713-2148
Phone
(302) 994-9692
Fax
(302) 994-9803
NPI assigned
May 16, 2011
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X C10011090 DE Primary

Addresses

Primary practice location

537 Stanton Christiana Rd Ste 202
Newark, DE 19713-2148

Mailing address

537 Stanton Christiana Rd Ste 202
Newark, DE 19713-2148
Phone (302) 994-9692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150122002574 DE Practitioner - Infectious DiseasePractitioner - Internal Medicine 0143468736 Reassigns benefits to 1 organization
I20180402001325 MD Practitioner - Infectious Disease 0143468736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Consultants PAGroup PAC ID 4183615081, 9 clinicians

Practice addresses (Care Compare)

106 Bow St
Union Hospital
Elkton, MD 21921-5544
Phone (410) 392-7050

537 Stanton Christiana Rd
Suite 201
Newark, DE 19713-2145
Phone (302) 994-9692

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10011090DEMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Consultants PA Infectious Disease CurrentSince Feb 11, 2018 Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients

Locations

537 Stanton Christiana Rd
Ste 201
Newark, DE 19713
Phone (302) 994-9692

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

Interoperability endpoints

  • Direct secure messaging: tmascarenhas2018192@direct.trinity-health.org

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 4

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": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1477846079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 STANTON CHRISTIANA RD STE 202",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132148",
            "telephone_number": "302-994-9692",
            "fax_number": "302-994-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 STANTON CHRISTIANA RD STE 202",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132148",
            "telephone_number": "302-994-9692",
            "fax_number": "302-994-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCARENHAS",
        "first_name": "TRESA",
        "middle_name": "REENA",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "DE",
            "license": "C10011090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.