Organization Active NPI

Eranga Cardiology, PA

  • Cardiovascular Disease Physician
  • Dover, DE
National Provider Identifier
1649523697
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ERANGA CARDIOLOGY, PA
Practice address
200 Banning St Ste 310
Dover, DE 19904-3488
Phone
(302) 747-7486
Fax
(302) 747-7691
NPI assigned
Oct 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Eranga Haththotuwa, MDNPI 1669477618
Title
Owner
Phone
(302) 747-7486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

200 Banning St Ste 310
Dover, DE 19904-3488

Mailing address

200 Banning St Ste 310
Dover, DE 19904-3488
Phone (302) 747-7486

Other practice location 1

1011 Mattlind Way
Milford, DE 19963-5369
Phone (302) 747-7486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121107000462 DE Part B Supplier - Clinic/Group Practice 1355592940 Receives reassigned benefits from 6 practitioners
Practice locations: Dover, DE; Milford, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2051313Eranga Cardiology, PA200 Banning Street, Suite 310, Dover, DE 19904Certificate of waiverDec 17, 2026

National Provider Directory

National Provider Directory

Locations

200 Banning St
Ste 310
Dover, DE 19904
Phone (302) 735-8850

204 W Liberty Way
Ste 3
Milford, DE 19963
Phone (302) 747-7486

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73031

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1649523697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BANNING ST STE 310",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043488",
            "telephone_number": "302-747-7486",
            "fax_number": "302-747-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST STE 310",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043488",
            "telephone_number": "302-747-7486",
            "fax_number": "302-747-7691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Mattlind Way",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199635369",
            "country_code": "US",
            "telephone_number": "302-747-7486",
            "fax_number": "302-747-7691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERANGA CARDIOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "HATHTHOTUWA",
        "authorized_official_first_name": "ERANGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-747-7486",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.