Individual provider Active NPI

Joelle M Mengang, MD

  • Family Medicine Physician
  • New Castle, DE
National Provider Identifier
1629389184
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0026573 Issued in DE
Practice address
94 Christiana Rd
New Castle, DE 19720-3118
Phone
(302) 327-7630
Fax
(302) 327-7635
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C1-0026573 DE Primary
Family Medicine Physician 207Q00000X 036134016 IL
Family Medicine Physician 207Q00000X 39066 SC
Family Medicine Physician 207Q00000X 40773 IA
Family Medicine Physician 207Q00000X 2015-02157 NC

Addresses

Primary practice location

94 Christiana Rd
New Castle, DE 19720-3118

Mailing address

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

Other practice location 1

2633 Celanese Rd
Rock Hill, SC 29732-1205
Phone (803) 325-1770

Other practice location 2

2750 11th St
Rock Island, IL 61201-5216
Phone (563) 336-3000

Other identifiers 3

IdentifierTypeStateIssuer
1932193224MedicaidIA
1629389184MedicaidNC
NC2691MedicaidSC

Other names 1

  • Joelle M Metuge Mesinze Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210106000582 IL Practitioner - Family Practice 4082855408 Reassigns benefits to 1 organization
I20240726000695 DE Practitioner - Family Practice 4082855408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
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)

94 Christiana Rd
New Castle, DE 19720-3118
Phone (302) 327-7630

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40773IAMDFamily Medicine Physician
2015-02157NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Current Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care, Inc. CurrentSince Dec 7, 2020 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2024 Accepting new patients
Christiana Care Health Services, Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

94 Christiana Rd
New Castle, DE 19720
Phone (302) 327-7360

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

500 W River Dr
Davenport, IA 52801
Phone (563) 327-2035

1106 4th Ave
Moline, IL 61265
Phone (309) 623-4817

2750 11th St
Rock Island, IL 61201
Phone (563) 327-2000

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1629389184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W RIVER DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011014",
            "telephone_number": "563-336-3000",
            "fax_number": "563-336-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 CHRISTIANA RD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197203118",
            "telephone_number": "302-327-7630",
            "fax_number": "302-327-7635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2633 Celanese Rd",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321205",
            "country_code": "US",
            "telephone_number": "803-325-1770",
            "fax_number": "803-325-1790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 11th St",
            "address_purpose": "LOCATION",
            "city": "Rock Island",
            "state": "IL",
            "postal_code": "612015216",
            "country_code": "US",
            "telephone_number": "563-336-3000",
            "fax_number": "563-327-2102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENGANG",
        "first_name": "JOELLE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0026573",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036134016",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "39066",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "40773",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2015-02157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932193224",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629389184",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2691",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOELLE",
            "last_name": "METUGE MESINZE",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Castle, DE

Sources for this page

Verify at the official NPI Registry.