Gerard W Stroup, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C5-0000718 Issued in DE

Practice address

102 Sleepy Hollow Dr Ste 203
Middletown, DE 19709-5841

Phone

(302) 364-2000

Fax

(302) 329-8807

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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.

• Sunwise Dermatology & Surgery LLC

  • MOHS-Micrographic Surgery Physician
  • Middletown, DE
  • NPI 1386160059

  DE

  Medicare reassignment Care Compare group
• Advanced Ears Nose and Throat LLC

  • Otolaryngology Physician
  • Newark, DE
  • NPI 1154445559
  NPD (past)
• Family Dermatology of Pennsylvania, PC

  • Dermatology Physician
  • Reading, PA
  • NPI 1669482105
  NPD (past)

Specialty

Physician Assistant

Education

Drexel University College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunwise Dermatology and Surgery LLC 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730195058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SLEEPY HOLLOW DR STE 203",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095841",
            "telephone_number": "302-364-2000",
            "fax_number": "302-329-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SLEEPY HOLLOW DR STE 203",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095841",
            "telephone_number": "302-364-2000",
            "fax_number": "302-329-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUP",
        "first_name": "GERARD",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP001029000",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tynesia Stewart
• Aleisha Lynn Stoneberger, RDN
• Mackenzie Straw
• Deborah Streeter, N.P.
• Stroke and Neurology Consultants of Delaware Inc
• Jennifer Sturgis
• Vidyarani Subbaraya, M.D.
• Caitlyn Suchanic, FNP
• Summit Dental P.a.
• Suncoast Medical Group LLC

• All providers in Middletown, DE
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.