Individual provider Active NPI

Theresa P Little, M.D.

  • Family Medicine Physician
  • Dover, DE
National Provider Identifier
1568471670
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0003798 Issued in DE
Practice address
725 S Queen St Ste 4
Dover, DE 19904-3568
Phone
(302) 678-4488
Fax
(302) 678-4497
NPI assigned
Aug 7, 2006
Last updated
Oct 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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 C1-0003798 DE Primary

Addresses

Primary practice location

725 S Queen St Ste 4
Dover, DE 19904-3568

Mailing address

725 S Queen St
Dover, DE 19904-3568
Phone (302) 678-4488

Other practice location 1

1001 S Bradford St
Suite 4
Dover, DE 19904-4153
Phone (302) 735-1616

Other identifiers 1

IdentifierTypeStateIssuer
0000418201MedicaidDE

Other names 1

  • Theresa P Mellon Former name

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
I20100326000191 DE Practitioner - Family Practice 0244265999 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine of Dover PAGroup PAC ID 5890861561, 4 clinicians

Practice addresses (Care Compare)

725 S Queen St
Dover, DE 19904-3568
Phone (302) 678-4488

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group, Delaware, Inc CurrentSince Apr 10, 2014 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Oct 1, 1996 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Oct 1, 1996 Accepting new patients
Christiana Medical Group, PA Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

21 W Clarke Ave
Milford, DE 19963
Phone (302) 422-3311

Interoperability endpoints

  • Direct secure messaging: theresa.little@internalmedicineofdover.chartmakerdirect.com
  • Direct secure messaging: theresalittle@dhni.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1568471670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S QUEEN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043568",
            "telephone_number": "302-678-4488",
            "fax_number": "302-678-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S QUEEN ST STE 4",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043568",
            "telephone_number": "302-678-4488",
            "fax_number": "302-678-4497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S Bradford St",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199044153",
            "country_code": "US",
            "telephone_number": "302-735-1616",
            "fax_number": "302-735-1617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "THERESA",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0003798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000418201",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "MELLON",
            "middle_name": "P",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.