Individual provider Active NPI

Andres Alberto Tirado Navales, MD

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1730705260
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0025960 Issued in DE
Practice address
4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-6706
Phone
(302) 623-0188
Fax
(302) 733-5640
NPI assigned
Jun 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD483450 PA
Family Medicine Physician 207Q00000X C1-0025960 DE Primary

Addresses

Primary practice location

4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-6706

Mailing address

1850 E Park Ave Ste 207
State College, PA 16803-6706
Phone (814) 235-2480

Other practice location 1

1850 E Park Ave Ste 207
State College, PA 16803-6706
Phone (814) 235-2480

Other practice location 2

925 Providence Rd Ste 8And9
Secane, PA 19018-2920
Phone (610) 394-1234

Other practice location 3

620 Stanton Christiana Rd Ste 302
Newark, DE 19713-2135
Phone (302) 660-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230828003389 DE Practitioner - Internal Medicine 6709249469 Reassigns benefits to 2 organizations
I20230828003426 MD Practitioner - Internal Medicine 6709249469 Reassigns benefits to 1 organization
I20240429003632 PA Practitioner - Family Practice 6709249469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians
St Francis Hospital IncGroup PAC ID 7911987144, 47 clinicians

Practice addresses (Care Compare)

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 623-0188

620 Stanton Christiana Rd
Suite 302
Newark, DE 19713-2135
Phone (302) 660-7333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0025960DEMDFamily Medicine Physician
MD483450PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County Family Medicine CurrentSince Aug 25, 2023 Accepting new patients
St Francis Hospital Inc. Family Medicine CurrentSince Dec 6, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Apr 24, 2024 Accepting new patients
Christiana Care Health Services Inc Family Medicine CurrentSince Aug 14, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Apr 24, 2024 Accepting new patients
Union Hospital of Cecil County CurrentSince Aug 25, 2023 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 14, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
St Francis Hospital Inc CurrentSince Dec 6, 2024 Accepting new patients
St. Francis Hospital Inc. Family Medicine Current Accepting new patients
St Francis Hospital Inc Family Medicine Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Family Medicine Past Accepting new patients

Locations

620 Stanton Christiana Rd
Ste 302
Newark, DE 19713
Phone (302) 660-7333

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

701 N Clayton St
Fl 2
Wilmington, DE 19805
Phone (302) 575-8040

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

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

207 North St
Ste A
Elkton, MD 21921

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

925 Providence Rd
Ste 89
Secane, PA 19018
Phone (610) 394-1234

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1592611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1730705260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E PARK AVE STE 207",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036706",
            "telephone_number": "814-235-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD STE 5A43",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197186706",
            "telephone_number": "302-623-0188",
            "fax_number": "302-733-5640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 E Park Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036706",
            "country_code": "US",
            "telephone_number": "814-235-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Providence Rd Ste 8And9",
            "address_purpose": "LOCATION",
            "city": "Secane",
            "state": "PA",
            "postal_code": "190182920",
            "country_code": "US",
            "telephone_number": "610-394-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Stanton Christiana Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132135",
            "country_code": "US",
            "telephone_number": "302-660-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIRADO NAVALES",
        "first_name": "ANDRES",
        "middle_name": "ALBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-20",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD483450",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0025960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.