Individual provider Active NPI

Anuja Thatte, PA-C

  • Physician Assistant
  • Newark, DE
National Provider Identifier
1598287401
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0011608 Issued in DE
Practice address
4701 Ogletown Stanton Rd Ste 4200
Newark, DE 19713-2075
Phone
(302) 737-7700
Fax
(302) 737-5407
NPI assigned
Jul 12, 2017
Last updated
Oct 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PROCESSING NY
Physician Assistant 363A00000X C5-0011608 DE Primary

Addresses

Primary practice location

4701 Ogletown Stanton Rd Ste 4200
Newark, DE 19713-2075

Mailing address

4701 Ogletown Stanton Rd Ste 4200
Newark, DE 19713-2075
Phone (302) 737-7700

Other identifiers 1

IdentifierTypeStateIssuer
00000000MedicaidNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211012002039 DE Practitioner - Physician Assistant 1355606617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

1401 Foulk Rd
Wilmington, DE 19803-2764

4701 Ogletown Stanton Rd
Newark, DE 19713-2055
Phone (302) 623-3605

4701 Ogletown Stanton Rd
Suite 2100
Newark, DE 19713-7000
Phone (302) 623-4960

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PROCESSINGNYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Oct 6, 2021 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Oct 6, 2021 Accepting new patients

Locations

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

4701 Ogletown Stanton Rd
Ste 2200
Newark, DE 19713
Phone (302) 366-1200

4701 Ogletown Stanton Rd
Ste 4200
Newark, DE 19713
Phone (302) 658-7533

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

Interoperability endpoints

  • Direct secure messaging: anuja.thatte@dclp.ikm.direct-ci.com
  • Direct secure messaging: athatte@hiemail.healtheconnections.org

Organizations & group practices 3

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1598287401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD STE 4200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132075",
            "telephone_number": "302-737-7700",
            "fax_number": "302-737-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD STE 4200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132075",
            "telephone_number": "302-737-7700",
            "fax_number": "302-737-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATTE",
        "first_name": "ANUJA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "PROCESSING",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0011608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.