Individual provider Active NPI

Feroz Abubacker Kaniyamparambil, M.D

  • Nephrology Physician
  • Newark, DE
National Provider Identifier
1710119045
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
C1-0010839 Issued in DE
Practice address
4923 Ogletown Stanton Rd
Suite 200
Newark, DE 19713-2081
Phone
(302) 225-0451
Fax
(302) 225-0472
NPI assigned
Aug 20, 2009
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0077262 MD
Nephrology Physician 207RN0300X C1-0010839 DE Primary

Addresses

Primary practice location

4923 Ogletown Stanton Rd
Suite 200
Newark, DE 19713-2081

Mailing address

4923 Ogletown Stanton Rd
Suite 200
Newark, DE 19713-2081
Phone (302) 225-0451

Other names 1

  • Feroz Abubacker Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fabubacker@delawarekidney.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140723001633 MD Practitioner - NephrologyPractitioner - Internal Medicine 2365668613 Reassigns benefits to 1 organization
I20140723001783 DE Practitioner - NephrologyPractitioner - Internal Medicine 2365668613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates PAGroup PAC ID 9830098177, 55 clinicians

Practice addresses (Care Compare)

137 W High St
Suite 1a
Elkton, MD 21921-8614
Phone (410) 620-9200

4923 Ogletown Stanton Rd
Suite 200
Newark, DE 19713-2081
Phone (302) 225-0451

701 N Clayton St
Suite 401
Wilmington, DE 19805-3165
Phone (302) 421-9411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0010839DEMDNephrology Physician
D0077262MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates PA Nephrology CurrentSince Jun 24, 2014 Accepting new patients

Locations

4923 Ogletown Stanton Rd
Ste 200
Newark, DE 19713
Phone (302) 225-0451

701 N Clayton St
Ste 401
Wilmington, DE 19805
Phone (302) 225-0451

137 W High St
Ste 1A
Elkton, MD 21921
Phone (410) 620-9200

Interoperability endpoints

  • Direct secure messaging: ferozabubackerkaniyamparambil@napa.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1710119045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 OGLETOWN STANTON RD",
            "address_2": "SUITE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132081",
            "telephone_number": "302-225-0451",
            "fax_number": "302-225-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 OGLETOWN STANTON RD",
            "address_2": "SUITE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132081",
            "telephone_number": "302-225-0451",
            "fax_number": "302-225-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUBACKER KANIYAMPARAMBIL",
        "first_name": "FEROZ",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0077262",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "DE",
            "license": "C1-0010839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fabubacker@delawarekidney.com",
            "affiliation": "N",
            "endpointDescription": "abubacker direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4923 Ogletown Stanton Rd",
            "address_2": "Suite 200",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197132081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "FEROZ",
            "last_name": "ABUBACKER",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.