Individual provider Active NPI

Jona D. Gorra, M.D,

  • Internal Medicine Physician
  • Georgetown, DE
National Provider Identifier
1619900461
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C1-0005098 Issued in DE
Practice address
10 W Laurel St
Georgetown, DE 19947-1424
Phone
(302) 855-0915
Fax
(302) 855-0914
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C1-0005098 DE Primary

Addresses

Primary practice location

10 W Laurel St
Georgetown, DE 19947-1424

Mailing address

10 W Laurel St
Georgetown, DE 19947-1424
Phone (302) 855-0915

Other identifiers 1

IdentifierTypeStateIssuer
0000818901MedicaidDE

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
I20100629000352 DE Practitioner - Internal Medicine 8820094659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seaford Internal Medicine LLCGroup PAC ID 5597843763, 6 clinicians

Practice addresses (Care Compare)

10 W Laurel St
Georgetown, DE 19947-1424
Phone (302) 855-0915

1501 Middleford Rd
Seaford, DE 19973-3615
Phone (302) 629-4569

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as apm
Quality
81.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0005098DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seaford Internal Medicine LLC CurrentSince Jun 20, 2006 Accepting new patients
Seaford Internal Medicine LLC Internal Medicine CurrentSince Aug 6, 2012 Accepting new patients
DC Medical Services, LLC Internal Medicine CurrentSince May 1, 1998 Accepting new patients

Locations

10 W Laurel St
Georgetown, DE 19947
Phone (302) 855-0915

715 E King St
Seaford, DE 19973
Phone (302) 536-5628

1501 Middleford Rd
Seaford, DE 19973
Phone (302) 378-1022

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1619900461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W LAUREL ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471424",
            "telephone_number": "302-855-0915",
            "fax_number": "302-855-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W LAUREL ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471424",
            "telephone_number": "302-855-0915",
            "fax_number": "302-855-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORRA",
        "first_name": "JONA",
        "middle_name": "D.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0005098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000818901",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

Verify at the official NPI Registry.