Individual provider Active NPI

Haynes B Cates Jr., MD

  • Urology Physician
  • Wilmington, DE
National Provider Identifier
1639273907
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C1 0002640 Issued in DE
Practice address
1205 Delaware Ave
Wilmington, DE 19806
Phone
(302) 652-5946
Fax
(302) 652-4170
NPI assigned
Sep 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X C1 0002640 DE Primary

Addresses

Primary practice location

1205 Delaware Ave
Wilmington, DE 19806

Mailing address

1205 Delaware Ave
Wilmington, DE 19806
Phone (302) 652-5946

Other identifiers 1

IdentifierTypeStateIssuer
0000088701MedicaidDE

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
I20060125000973 DE Practitioner - Urology 0648284950 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1 0002640DEMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Current Accepting new patients

Locations

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

Organizations & group practices 1

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639273907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 DELAWARE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19806",
            "telephone_number": "302-652-5946",
            "fax_number": "302-652-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 DELAWARE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19806",
            "telephone_number": "302-652-5946",
            "fax_number": "302-652-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATES",
        "first_name": "HAYNES",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "DE",
            "license": "C1 0002640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000088701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.