Individual provider Active NPI

Maribel Garcia, M.D.

  • Internal Medicine Physician
  • Milton, DE
National Provider Identifier
1639263452
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10003576 Issued in DE
Practice address
124 Broadkill Rd
Milton, DE 19968-1008
Phone
(302) 684-2033
Fax
(302) 684-2036
NPI assigned
Oct 3, 2006
Last updated
Mar 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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 C10003576 DE Primary

Addresses

Primary practice location

124 Broadkill Rd
Milton, DE 19968-1008

Mailing address

400 Savannah Rd
Suite B
Lewes, DE 19958-1499
Phone (302) 645-3555

Other identifiers 4

IdentifierTypeStateIssuer
1639263452MedicaidDE
522011WWHOtherDEBCBS OF DELAWARE
000000208356OtherDEUNISON HEALTH CARE
1639263452OtherDERAILROAD MEDICAID

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
I20061205000616 DE Practitioner - Internal Medicine 7618976457 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Post Acute Medical Services 1Group PAC ID 2466727755, 34 clinicians
De Pacs 2 PAGroup PAC ID 0244580926, 26 clinicians

Practice addresses (Care Compare)

700 Foulk Rd
Wilmington, DE 19803-3708
Phone (302) 764-0181

810 S Broom St
Wilmington, DE 19805-4245
Phone (302) 652-1181

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10003576DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Associates PA Internal Medicine Past Accepting new patients
Broadmeadow Investment LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1639263452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SAVANNAH RD",
            "address_2": "SUITE B",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581499",
            "telephone_number": "302-645-3555",
            "fax_number": "302-644-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BROADKILL RD",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199681008",
            "telephone_number": "302-684-2033",
            "fax_number": "302-684-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARIBEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10003576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639263452",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DELAWARE",
            "identifier": "522011WWH",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH CARE",
            "identifier": "000000208356",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICAID",
            "identifier": "1639263452",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, DE

Sources for this page

Verify at the official NPI Registry.