Individual provider Active NPI

Kamron Salavitabar, DO

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1528646973
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C2-0024488 Issued in DE
Practice address
3506 Kennett Pike Ste 230
Wilmington, DE 19807-3019
Phone
(302) 661-3400
Fax
(302) 656-5611
NPI assigned
Mar 29, 2021
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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 C2-0024488 DE Primary

Addresses

Primary practice location

3506 Kennett Pike Ste 230
Wilmington, DE 19807-3019

Mailing address

3506 Kennett Pike Ste 230
Wilmington, DE 19807-3019
Phone (302) 661-3400

Other practice location 1

1850 E Park Ave
State College, PA 16803-6706
Phone (814) 689-6721

Other practice location 2

500 University Dr # McH088
Hershey, PA 17033-2360
Phone (717) 531-1368

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
I20240914000553 DE Practitioner - Family Practice 5698179372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

1401 Foulk Rd
Wilmington, DE 19803-2764

3506 Kennett Pike
Wilmington, DE 19807-3019

3506 Kennett Pike Pmri
CCHS Diabetes and Metabolic
Wilmington, DE 19807-3019
Phone (302) 661-3070

726 Yorklyn Rd
Suite 100
Hockessin, DE 19707-8745
Phone (302) 234-5770

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Family Medicine CurrentSince Aug 30, 2024 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 30, 2024 Accepting new patients

Locations

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

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

3506 Kennett Pike
Ste 230
Wilmington, DE 19807
Phone (302) 661-3400

3506 Kennett Pike
Ste 2300
Wilmington, DE 19807

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.

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1528646973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 KENNETT PIKE STE 230",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198073019",
            "telephone_number": "302-661-3400",
            "fax_number": "302-656-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 KENNETT PIKE STE 230",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198073019",
            "telephone_number": "302-661-3400",
            "fax_number": "302-656-5611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036706",
            "country_code": "US",
            "telephone_number": "814-689-6721",
            "fax_number": "814-689-6790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 University Dr # McH088",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-1368",
            "fax_number": "717-561-2077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAVITABAR",
        "first_name": "KAMRON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0024488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.