Individual provider Active NPI

Ioannis Kehagias-Athanassopulos, MD

  • Family Medicine Physician
  • Middletown, DE
National Provider Identifier
1497839419
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10006722 Issued in DE
Practice address
222 Carter Dr
Ste 101
Middletown, DE 19709-5854
Phone
(302) 378-5494
Fax
(302) 378-1760
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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 C10006722 DE Primary

Addresses

Primary practice location

222 Carter Dr
Ste 101
Middletown, DE 19709-5854

Mailing address

222 Carter Dr
Ste 101
Middletown, DE 19709-5854
Phone (302) 378-5494

Other identifiers 10

IdentifierTypeStateIssuer
470892742OtherDECOVENTRY
2990862OtherDEAETNA HMO
2102289OtherDEMAMSI, ALLIANCE,OPT CHOIC
1460660OtherDEAMERIHEALTH PPO
1000021645OtherDEDPCI
2145623000OtherDEAMERIHEALTH HMO
7648389OtherDEAETNA PPO
H77145OtherDEBCBS DE
080195041OtherDERAILROAD MEDICARE
1000021645MedicaidDE

Other names 1

  • Ioannis Kehagias Other 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
I20080626000050 DE Practitioner - Family Practice 5597837187 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Medical, LLCGroup PAC ID 6406039965, 12 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

121 Becks Woods Dr
Suite 100
Bear, DE 19701-3853
Phone (866) 862-2955

161 Becks Woods Dr
Bear, DE 19701-3853

222 Carter Dr
Suite 101
Middletown, DE 19709-5856
Phone (302) 378-5494

38 Deak Dr
Smyrna, DE 19977-1268
Phone (866) 862-2955

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 623-0188

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
  • Christianacare Homehealth Home health agency, Wilmington, DE, CCN 087002
  • Christianacare Homehealth Home health agency, Camden, DE, CCN 087301
  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10006722DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Clinic, LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
First State Family Practice, Inc Family Medicine CurrentSince Jan 1, 2003 Accepting new patients
Inpatient Consultants of Delaware, LLC Family Medicine CurrentSince Apr 22, 2016 Accepting new patients
Christiana Care Health Services Inc Family Medicine CurrentSince Jan 29, 2017 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 29, 2017 Accepting new patients
Hospitalists of Delaware Past Accepting new patients

Locations

121 Becks Woods Dr
Ste 100
Bear, DE 19701
Phone (302) 836-8200

222 Carter Dr
Ste 101
Middletown, DE 19709
Phone (302) 378-5494

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

131 Continental Dr
Ste 215
Newark, DE 19713
Phone (302) 451-5600

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

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

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 10

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1497839419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CARTER DR",
            "address_2": "STE 101",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095854",
            "telephone_number": "302-378-5494",
            "fax_number": "302-378-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CARTER DR",
            "address_2": "STE 101",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095854",
            "telephone_number": "302-378-5494",
            "fax_number": "302-378-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHAGIAS-ATHANASSOPULOS",
        "first_name": "IOANNIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10006722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "470892742",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2990862",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI, ALLIANCE,OPT CHOIC",
            "identifier": "2102289",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "1460660",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPCI",
            "identifier": "1000021645",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "2145623000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7648389",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DE",
            "identifier": "H77145",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080195041",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000021645",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IOANNIS",
            "last_name": "KEHAGIAS",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Middletown, DE

Sources for this page

Verify at the official NPI Registry.