Individual provider Active NPI

Raymond A Dipretoro Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Newark, DE
National Provider Identifier
1568464816
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E1000090 Issued in DE
Practice address
774 Christiana Rd
Ste 105
Newark, DE 19713-4236
Phone
(302) 623-4250
Fax
(302) 623-4252
NPI assigned
Jun 1, 2005
Last updated
Jan 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E1000090 DE Primary

Addresses

Primary practice location

774 Christiana Rd
Ste 105
Newark, DE 19713-4236

Mailing address

774 Christiana Rd
Ste 105
Newark, DE 19713-4236
Phone (302) 623-4250

Other identifiers 11

IdentifierTypeStateIssuer
0000234317MedicaidDE
349964OtherMAMSI/OPTIMUM CHOICE
U05931OtherDEBCBS
226168OtherDEUNISON
0430506000OtherAMERIHEALTH/KEYSTONE/PC
2700771OtherUNITED HEALTHCARE
43816OtherCOVENTRY
1144087OtherCIGNA
5084OtherELDER HEALTH
0000234317OtherDEDELAWARE PHYSICIANS CARE
4331907OtherAETNA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100112000309 DE Practitioner - Podiatry 8527010537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Associates LLPGroup PAC ID 6901890086, 15 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

210 Cleaver Farms Rd
Suite 2
Middletown, DE 19709-1670
Phone (302) 355-0056

3801 Kennett Pike
Suite A102
Greenville, DE 19807-2307
Phone (302) 652-5767

501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 428-4413

774 Christiana Rd
Suite 105
Newark, DE 19713-4248
Phone (302) 355-0056

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue55
Removal of skin lesions83
Removal of nail tissue220
Removal or shaving of skin growth84
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1000090DEMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Associates LLP Foot & Ankle Surgery CurrentSince Sep 30, 2022 Accepting new patients
Foot and Ankle Associates LLP Foot & Ankle Surgery CurrentSince Sep 30, 2022 Accepting new patients
Christiana Care Health Services Inc Foot & Ankle Surgery CurrentSince Apr 24, 2011 Accepting new patients
Christiana Care Health Services Inc CurrentSince Apr 24, 2011 Accepting new patients

Locations

774 Christiana Rd
Ste 105
Newark, DE 19713
Phone (302) 355-0056

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

3801 Kennett Pike
Ste A102
Wilmington, DE 19807
Phone (302) 652-5767

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

Interoperability endpoints

  • Direct secure messaging: rdipretoro@usfas.emadirect.md

Organizations & group practices 4

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 3

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1568464816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD",
            "address_2": "STE 105",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134236",
            "telephone_number": "302-623-4250",
            "fax_number": "302-623-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD",
            "address_2": "STE 105",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134236",
            "telephone_number": "302-623-4250",
            "fax_number": "302-623-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPRETORO",
        "first_name": "RAYMOND",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "DE",
            "license": "E1000090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000234317",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/OPTIMUM CHOICE",
            "identifier": "349964",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "U05931",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "226168",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE/PC",
            "identifier": "0430506000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2700771",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "43816",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1144087",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDER HEALTH",
            "identifier": "5084",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE PHYSICIANS CARE",
            "identifier": "0000234317",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4331907",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.