Individual provider Active NPI

Eranga Haththotuwa, MD

  • Cardiovascular Disease Physician
  • Dover, DE
National Provider Identifier
1669477618
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD062724L Issued in PA
Practice address
200 Banning St Ste 310
Dover, DE 19904
Phone
(302) 747-7486
Fax
(302) 747-7691
NPI assigned
Jun 16, 2005
Last updated
Dec 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD062724L PA Primary

Addresses

Primary practice location

200 Banning St Ste 310
Dover, DE 19904

Mailing address

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

Other practice location 1

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

Other practice location 2

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

Other identifiers 1

IdentifierTypeStateIssuer
250026569MedicaidDE

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
I20071010000759 DE Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0446242408 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians
Eranga Cardiology PAGroup PAC ID 1355592940, 2 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Bayhealth Hospital Sussex Campus
Milford, DE 19963-4364
Phone (302) 430-5738

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

640 S State St
Kent Campus
Dover, DE 19901-3530
Phone (302) 744-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD062724LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc Cardiovascular Disease CurrentSince Apr 1, 2019 Accepting new patients
Bayhealth Medical Center, Inc Cardiovascular Disease CurrentSince Apr 1, 2019 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Apr 20, 2015 Accepting new patients
Eden Hill Surgical Group CurrentSince Oct 8, 2012 Accepting new patients
Eranga Cardiology, PA Cardiovascular Disease CurrentSince Oct 8, 2012 Accepting new patients
Cardiovascular Associates of Southeaster Pennsylvania PC Cardiovascular Disease Past Accepting new patients
Cardiology Physicians, LLC Cardiovascular Disease Past Accepting new patients

Locations

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

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

1011 Mattlind Way
Milford, DE 19963
Phone (302) 295-6312

Interoperability endpoints

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

Organizations & group practices 7

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 5

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1669477618",
    "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": "19904",
            "telephone_number": "302-747-7486",
            "fax_number": "302-747-7691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Banning St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "19904",
            "country_code": "US",
            "telephone_number": "302-747-7486",
            "fax_number": "302-747-7691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": {
        "last_name": "HATHTHOTUWA",
        "first_name": "ERANGA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD062724L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250026569",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.