Individual provider Active NPI

Chetana Kripalu, M.D.

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1730194580
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10007762 Issued in DE
Practice address
410 Foulk Rd
Suite 200B
Wilmington, DE 19803-3820
Phone
(302) 762-6675
Fax
(302) 762-6695
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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 C10007762 DE Primary

Addresses

Primary practice location

410 Foulk Rd
Suite 200B
Wilmington, DE 19803-3820

Mailing address

410 Foulk Rd
Suite 200B
Wilmington, DE 19803-3820
Phone (302) 762-6675

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
I20070208000203 DE Practitioner - Family Practice 8325040066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Associates, PAGroup PAC ID 8921252941, 13 clinicians

Practice addresses (Care Compare)

410 Foulk Rd
Suite 200B
Wilmington, DE 19803-3802
Phone (302) 762-6675

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10007762DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Associates PA CurrentSince Feb 1, 2013 Accepting new patients
Complete Sleep Lab Inc PastSince Aug 20, 2018 Accepting new patients
Premiere Physicians P.a. PastSince Jan 1, 2004 Accepting new patients

Locations

410 Foulk Rd
Ste 200B
Wilmington, DE 19803
Phone (302) 561-4202

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17876/brand/1/csg/1/fhir/r4
  • Direct secure messaging: chetana.kripalu.1@17876.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1730194580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 FOULK RD",
            "address_2": "SUITE 200B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033820",
            "telephone_number": "302-762-6675",
            "fax_number": "302-762-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 FOULK RD",
            "address_2": "SUITE 200B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033820",
            "telephone_number": "302-762-6675",
            "fax_number": "302-762-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIPALU",
        "first_name": "CHETANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10007762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.