Individual provider Active NPI

Michael E Stillabower, M.D.

  • Cardiovascular Disease Physician
  • Newark, DE
National Provider Identifier
1548237472
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C10001588 Issued in DE
Practice address
252 Chapman Rd
Suite 150
Newark, DE 19702-5438
Phone
(302) 366-1929
Fax
(302) 366-1075
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C10001588 DE Primary
Interventional Cardiology Physician 207RI0011X C10001588 DE

Addresses

Primary practice location

252 Chapman Rd
Suite 150
Newark, DE 19702-5438

Mailing address

252 Chapman Rd
Suite 150
Newark, DE 19702-5438
Phone (302) 366-1929

Other identifiers 1

IdentifierTypeStateIssuer
1548237472MedicaidDE

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
I20051114001053 DE Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3274552773 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Cardiovascular Disease CurrentSince Mar 14, 2011 Accepting new patients
Christiana Care Health Services, Inc Cardiovascular Disease CurrentSince Nov 20, 2013 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 14, 2011 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Cardiology Consultants PA Cardiovascular Disease Past Accepting new patients

Locations

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

252 Chapman Rd
Ste 150
Newark, DE 19702
Phone (302) 366-7665

86 Omega Dr
Bldg B86
Newark, DE 19713
Phone (302) 366-1929

3521 Silverside Rd
Ste 1C
Wilmington, DE 19810
Phone (302) 368-3007

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1548237472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 CHAPMAN RD",
            "address_2": "SUITE 150",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025438",
            "telephone_number": "302-366-1929",
            "fax_number": "302-366-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CHAPMAN RD",
            "address_2": "SUITE 150",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025438",
            "telephone_number": "302-366-1929",
            "fax_number": "302-366-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLABOWER",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C10001588",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "DE",
            "license": "C10001588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548237472",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.