Individual provider Active NPI

Virginia B Clemmer, M.D.

  • Surgery Physician
  • Wilmington, DE
National Provider Identifier
1679614135
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C1-0001875 Issued in DE
Practice address
2401 Pennsylvania Ave
Suite 115
Wilmington, DE 19806-1401
Phone
(302) 658-4200
Fax
(302) 658-4844
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C1-0001875 DE Primary

Addresses

Primary practice location

2401 Pennsylvania Ave
Suite 115
Wilmington, DE 19806-1401

Mailing address

2401 Pennsylvania Ave
Suite 115
Wilmington, DE 19806-1401
Phone (302) 658-4200

Other identifiers 1

IdentifierTypeStateIssuer
0000013301MedicaidDE

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
I20100203000536 DE Practitioner - General Surgery 9436292141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2401 Pennsylvania Ave
Wilmington, DE 19806-1401

2401 Pennsylvania Ave
Suite 115
Wilmington, DE 19806-1400

2401 Pennsylvania Ave
Suite 115
Wilmington, DE 19806-1432
Phone (302) 658-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho-Surg, P.a. CurrentSince Jul 13, 1982 Accepting new patients

Locations

2401 Pennsylvania Ave
Ste 115
Wilmington, DE 19806
Phone (302) 658-4200

Organizations & group practices 1

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 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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679614135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE",
            "address_2": "SUITE 115",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061401",
            "telephone_number": "302-658-4200",
            "fax_number": "302-658-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE",
            "address_2": "SUITE 115",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061401",
            "telephone_number": "302-658-4200",
            "fax_number": "302-658-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMMER",
        "first_name": "VIRGINIA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "C1-0001875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000013301",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.