Individual provider Active NPI

Parinaz Baradaran, MD

  • Internal Medicine Physician
  • Wilmington, DE
National Provider Identifier
1699752071
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200401422 Issued in NC
Practice address
1016 Delaware Ave
Wilmington, DE 19806-4704
Phone
(302) 468-4500
Fax
(302) 468-4831
NPI assigned
Dec 28, 2005
Last updated
Sep 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200401422 NC Primary

Addresses

Primary practice location

1016 Delaware Ave
Wilmington, DE 19806-4704

Mailing address

1016 Delaware Ave
Wilmington, DE 19806-4704
Phone (302) 468-4500

Other identifiers 1

IdentifierTypeStateIssuer
5900715MedicaidNC

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
I20161123000734 DE Practitioner - Internal Medicine 3476518101 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200401422NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Internal Medicine CurrentSince Feb 25, 2018 Accepting new patients
Elite Medical Clinic, LLC Current Accepting new patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Feb 25, 2018 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Feb 25, 2018 Accepting new patients

Locations

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

3301 Lancaster Pike
Ste 9
Wilmington, DE 19805
Phone (302) 320-4569

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1699752071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 DELAWARE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064704",
            "telephone_number": "302-468-4500",
            "fax_number": "302-468-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 DELAWARE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064704",
            "telephone_number": "302-468-4500",
            "fax_number": "302-468-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARADARAN",
        "first_name": "PARINAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200401422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900715",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.