Active NPI
Eranga Haththotuwa, MD
- Cardiovascular Disease Physician
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD062724L
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250026569 | Medicaid | DE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bayhealth Medical Center, Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD062724L | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Bayhealth Medical Center, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Eden Hill Surgical Group | Current | Accepting new patients | |
| Eranga Cardiology, PA | Cardiovascular Disease | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Dover, DE
- NPI 1649523697
-
dba Bayhealth Cardiology, Sussex Campus
- Cardiovascular Disease Physician
- Milford, DE
- NPI 1063938439
-
dba Bayhealth Cardiology Physicians, Kent Campus
- Cardiovascular Disease Physician
- Dover, DE
- NPI 1417473935
-
dba Bayhealth Hospital, Kent Campus
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
- Specialist
- Dover, DE
- NPI 1487628673
-
- Cardiovascular Disease Physician
- Wynnewood, PA
- NPI 1598761538
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bayhealth Hospital, Sussex Campus
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
dba Bayhealth Hospital, Kent Campus
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
- General Acute Care Hospital
- Seaford, DE
- NPI 1245214477
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.