Individual provider Active NPI

Loela B Dumadag Dangoy, NP

  • Family Nurse Practitioner
  • Milford, DE
National Provider Identifier
1669246005
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05230497 Issued in DE
Practice address
800 N Dupont Blvd
Milford, DE 19963-1019
Phone
(302) 430-5705
NPI assigned
Nov 7, 2023
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F05230497 DE Primary

Addresses

Primary practice location

800 N Dupont Blvd
Milford, DE 19963-1019

Mailing address

800 N Dupont Blvd
Milford, DE 19963-1019
Phone (302) 430-5077

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423001293 DE Practitioner - Nurse Practitioner 9436598521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians

Practice addresses (Care Compare)

800 N Dupont Blvd
Walkin Medical Care
Milford, DE 19963-1019
Phone (302) 430-5705

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F05230497DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc. CurrentSince Mar 6, 2024 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Mar 6, 2024 Accepting new patients

Locations

665 S Bay Rd
Unit C
Dover, DE 19901
Phone (302) 672-2319

301 Jefferson Ave
Milford, DE 19963
Phone (302) 430-5705

800 N DuPont Blvd
Milford, DE 19963
Phone (302) 422-3000

Organizations & group practices 2

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": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1669246005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N DUPONT BLVD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631019",
            "telephone_number": "302-430-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N DUPONT BLVD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631019",
            "telephone_number": "302-430-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMADAG DANGOY",
        "first_name": "LOELA",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "F05230497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.