Active NPI
Raymond A Dipretoro Jr., DPM
- Foot & Ankle Surgery Podiatrist
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E1000090
- 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, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000234317 | Medicaid | DE | |
| 349964 | Other | MAMSI/OPTIMUM CHOICE | |
| U05931 | Other | DE | BCBS |
| 226168 | Other | DE | UNISON |
| 0430506000 | Other | AMERIHEALTH/KEYSTONE/PC | |
| 2700771 | Other | UNITED HEALTHCARE | |
| 43816 | Other | COVENTRY | |
| 1144087 | Other | CIGNA | |
| 5084 | Other | ELDER HEALTH | |
| 0000234317 | Other | DE | DELAWARE PHYSICIANS CARE |
| 4331907 | Other | AETNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 55 |
| Removal of skin lesions | 83 |
| Removal of nail tissue | 220 |
| Removal or shaving of skin growth | 84 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1000090 | DE | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Associates LLP | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot and Ankle Associates LLP | Foot & Ankle Surgery | Current | Accepting new patients |
| Christiana Care Health Services Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | 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
- 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.
-
dba CCHS Podiatry
- Podiatrist
- Wilmington, DE
- NPI 1821302472
Foot & Ankle Surgery
-
dba Advanced Foot and Ankle Center
- Podiatrist
- Kennett Square, PA
- NPI 1003844697
DE, Foot & Ankle Surgery
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.