Individual provider Active NPI

Charles G Case, M.D.

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1710901012
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0003567 Issued in DE
Practice address
601 New Castle Ave
Wilmington, DE 19801-5821
Phone
(302) 655-6187
Fax
(302) 655-6606
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Family Medicine Physician 207Q00000X C1-0003567 DE Primary

Addresses

Primary practice location

601 New Castle Ave
Wilmington, DE 19801-5821

Mailing address

601 New Castle Ave
Wilmington, DE 19801-5821
Phone (302) 427-9694

Other identifiers 5

IdentifierTypeStateIssuer
703E04OtherDEBLUE CROSS BLUE SHIELD
0000328401MedicaidDE
0473654000OtherDEAMERIHEALTH
4410537OtherDEAETNA
46217OtherDECOVENTRY

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
I20101014000285 DE Practitioner - Family Practice 7810189453 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southbridge Medical Advisory Council Inc CurrentSince Feb 8, 1991 Accepting new patients
Southbridge Medical Advisory Council, Inc. Family Medicine CurrentSince Feb 8, 1991 Accepting new patients
Southbridge Medical Advisory Council Inc Family Medicine Current Accepting new patients

Locations

601 New Castle Ave
Wilmington, DE 19801
Phone (302) 655-6187

Interoperability endpoints

  • Direct secure messaging: charlescase@dhni.allscriptsdirect.net

Organizations & group practices 3

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710901012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NEW CASTLE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198015821",
            "telephone_number": "302-427-9694",
            "fax_number": "302-655-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NEW CASTLE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198015821",
            "telephone_number": "302-655-6187",
            "fax_number": "302-655-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "CHARLES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0003567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "703E04",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000328401",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0473654000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4410537",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "46217",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.