Qualiticare Community Medical Services LLC
Organization Active NPI Family Medicine Physician · Felton, DE
NPI 1699437640 · NPPES record last updated Jul 12, 2024
Key facts
- NPI
- 1699437640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- QUALITICARE COMMUNITY MEDICAL SERVICES LLC
- Practice address
- 7586 S Dupont Hwy Ste 4
Felton, DE 19943-5786 - Phone
- (302) 469-5333
- NPI assigned
- Oct 7, 2021
- Organization subpart
- No
Authorized official
- Name
- Javed Counseling Service O Akhtar
- Title
- Owner
- Phone
- (302) 469-5333
Practitioners 3
-
Natalie M Kunsman, M.D.
-
Javed Akhtar, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 08D2255197 | Qualiticare Community Medical Services LLC | Certificate of waiver | Mar 10, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230131002590 | DE | Part B Supplier - Clinic/Group Practice | 5991191199 |
Receives reassigned benefits from 2 practitioners Practice locations: Felton, DE |
National Provider Directory
Locations
7586 S DuPont Hwy
Ste 4
Felton, DE 19943
Phone (302) 469-5333
Interoperability endpoints
- https://api.platform.athenahealth.com/25867/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
7586 S Dupont Hwy Ste 4
Felton, DE 19943-5786
Mailing address
7586 S Dupont Hwy Ste 4
Felton, DE 19943-5786
Phone (302) 469-5333
Other names
- New Hope Medical Center
Other providers in Felton, DE
- Melissa Penuel
- Casey Rose Peterson
- Pitts Stop Transportation
- Michelle Pote
- Kiera Pritchett
- RDK Unlimited LLC
- Reforme Mental Wellness, LLC
- Christina Roberts
- John Rocks
- Virginia Marie Serrano
All providers in Felton, DE · Family Medicine Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.