Individual provider Active NPI

Julie H. Prosseda, MD

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1538168208
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0006753 Issued in DE
Practice address
5311 Limestone Rd Ste 201
Wilmington, DE 19808-1258
Phone
(302) 234-9109
Fax
(302) 234-9042
NPI assigned
Jul 15, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 C1-0006753 DE Primary

Addresses

Primary practice location

5311 Limestone Rd Ste 201
Wilmington, DE 19808-1258

Mailing address

5311 Limestone Rd Ste 201
Wilmington, DE 19808-1258
Phone (302) 234-9109

Other identifiers 2

IdentifierTypeStateIssuer
153168208OtherDECOMMERCIAL
1538168208MedicaidDE

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
I20110207000857 DE Practitioner - Family Practice 3870632862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stoney Batter Family Medicine Associates PAGroup PAC ID 9638069586, 12 clinicians

Practice addresses (Care Compare)

5311 Limestone Rd
Suite 201
Wilmington, DE 19808-1258
Phone (302) 234-9109

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Stoney Batter Family Medicine Associates, P.a. Family Medicine CurrentSince Jul 5, 2016 Accepting new patients
Cooper Family Medicine PC Family Medicine Past Accepting new patients

Locations

5311 Limestone Rd
Ste 201
Wilmington, DE 19808
Phone (302) 234-9109

Interoperability endpoints

  • Direct secure messaging: julieprosseda@sbfm.allscriptsdirect.net

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 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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1538168208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 LIMESTONE RD STE 201",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081258",
            "telephone_number": "302-234-9109",
            "fax_number": "302-234-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 LIMESTONE RD STE 201",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081258",
            "telephone_number": "302-234-9109",
            "fax_number": "302-234-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSSEDA",
        "first_name": "JULIE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0006753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "153168208",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538168208",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.