Individual provider Active NPI

Chad Duffalo, M.D.

  • Infectious Disease Physician
  • Newark, DE
National Provider Identifier
1639339484
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
247974 Issued in MA
Practice address
537 Stanton Christiana Rd
Suite 201
Newark, DE 19713-2146
Phone
(302) 994-9692
Fax
(302) 994-9803
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 247974 MA Primary

Addresses

Primary practice location

537 Stanton Christiana Rd
Suite 201
Newark, DE 19713-2146

Mailing address

537 Stanton Christiana Rd
Suite 201
Newark, DE 19713-2146
Phone (302) 994-9692

Other names 1

  • Dr. Chad Duffalo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, 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
I20131230000021 MD Practitioner - Infectious Disease 8325115041 Reassigns benefits to 1 organization
I20131230000028 DE Practitioner - Infectious Disease 8325115041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Temple University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Consultants PAGroup PAC ID 4183615081, 9 clinicians

Practice addresses (Care Compare)

106 Bow St
Union Hospital
Elkton, MD 21921-5544
Phone (410) 392-7050

537 Stanton Christiana Rd
Suite 201
Newark, DE 19713-2145
Phone (302) 994-9692

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Consultants PA Infectious Disease CurrentSince Oct 21, 2013 Accepting new patients
Cogent Healthcare of Pennsylvania, Inc. Past Accepting new patients
Lahey Clinic, Inc Past Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients

Locations

537 Stanton Christiana Rd
Ste 201
Newark, DE 19713
Phone (302) 994-9692

537 Stanton Christiana Rd
Newark, DE 19713
Phone (302) 225-2380

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

Interoperability endpoints

  • Direct secure messaging: cduffalo2020412@direct.trinity-health.org

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 4

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1639339484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 STANTON CHRISTIANA RD",
            "address_2": "SUITE 201",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132146",
            "telephone_number": "302-994-9692",
            "fax_number": "302-994-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 STANTON CHRISTIANA RD",
            "address_2": "SUITE 201",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132146",
            "telephone_number": "302-994-9692",
            "fax_number": "302-994-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFALO",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MA",
            "license": "247974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAD",
            "last_name": "DUFFALO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.