Individual provider Active NPI

Youssef Mikhael, PA-C

  • Physician Assistant
  • Dover, DE
National Provider Identifier
1598546350
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0011997 Issued in DE
Practice address
640 S State St
Dover, DE 19901-3530
Phone
(302) 674-4700
Fax
(302) 735-3845
NPI assigned
Oct 9, 2023
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 C0009423 MD
Physician Assistant 363A00000X C5-0011997 DE Primary

Addresses

Primary practice location

640 S State St
Dover, DE 19901-3530

Mailing address

640 S State St
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 480-1688

Other practice location 1

2645 Pulaski Hwy Spc A
Newark, DE 19702-3909
Phone (302) 273-1581

Other practice location 2

310 E Pulaski Hwy
Elkton, MD 21921-6435
Phone (443) 485-6213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231205001562 DE Practitioner - Physician Assistant 9436507217 Reassigns benefits to 4 organizations
I20240917000964 MD Practitioner - Physician Assistant 9436507217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

200 Banning St
Suite 170
Dover, DE 19904-3491
Phone (302) 674-1999

2305 Concord Pike
Wilmington, DE 19803-2911
Phone (302) 467-3588

2645 Pulaski Hwy
SPC a
Newark, DE 19702-3909
Phone (302) 273-1317

4724 Limestone Rd
Wilmington, DE 19808-1928
Phone (302) 467-3595

749 Middletown Warwick Rd
Christianacare Gohealth Urgent Care
Middletown, DE 19709-9095
Phone (302) 273-1614

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0009423MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc. CurrentSince Oct 25, 2023 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Oct 25, 2023 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Oct 25, 2023 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

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

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

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

18383 Hudson Rd
Ste A
Milton, DE 19968
Phone (302) 725-3500

Interoperability endpoints

  • Direct secure messaging: youssef.mikhael@ghuccc.eclinicaldirectplus.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1598546350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-480-1688",
            "fax_number": "302-480-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-674-4700",
            "fax_number": "302-735-3845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2645 Pulaski Hwy Spc A",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197023909",
            "country_code": "US",
            "telephone_number": "302-273-1581",
            "fax_number": "302-273-4758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 E Pulaski Hwy",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216435",
            "country_code": "US",
            "telephone_number": "443-485-6213",
            "fax_number": "443-485-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKHAEL",
        "first_name": "YOUSSEF",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-09",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009423",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0011997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.