Individual provider Active NPI

Lakshmi Menon, MD

  • Nephrology Physician
  • Dover, DE
National Provider Identifier
1609493584
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
C10028124 Issued in DE
Practice address
1198 S Governors Ave Ste 100
Dover, DE 19904-6930
Phone
(322) 730-2734
NPI assigned
Jun 26, 2020
Reactivated
May 4, 2022
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X C10028124 DE Primary

Addresses

Primary practice location

1198 S Governors Ave Ste 100
Dover, DE 19904-6930

Mailing address

607 East St Unit 607
Camden, DE 19934-1385
Phone (929) 353-2553

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
I20250805000612 DE Practitioner - Nephrology 9931617594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates PAGroup PAC ID 9830098177, 55 clinicians

Practice addresses (Care Compare)

1198 S Governors Ave
Suite B100
Dover, DE 19904-6930
Phone (302) 734-3227

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10028124DEMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates PA Nephrology CurrentSince Aug 12, 2025 Accepting new patients
Nephrology Associates PA Nephrology CurrentSince Aug 12, 2025 Accepting new patients

Locations

1198 S Governors Ave
Bldg B
Dover, DE 19904
Phone (302) 736-1340

1198 S Governors Ave
Ste 100
Dover, DE 19904
Phone (322) 730-2734

1198 S Governors Ave
Ste B100
Dover, DE 19904
Phone (302) 424-3694

4923 Ogletown Stanton Rd
Ste 200
Newark, DE 19713
Phone (302) 225-0451

701 N Clayton St
Ste 401
Wilmington, DE 19805
Phone (302) 225-0451

Interoperability endpoints

  • Direct secure messaging: lmenon117514@mskcc.direct-ci.com

Organizations & group practices 2

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 9

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": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1609493584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 EAST ST UNIT 607",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "199341385",
            "telephone_number": "929-353-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 S GOVERNORS AVE STE 100",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046930",
            "telephone_number": "322-730-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "LAKSHMI",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "deactivation_date": "2022-01-17",
        "reactivation_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "DE",
            "license": "C10028124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.