Organization Active NPI

Delaware Medical Care Associates LLC

  • Pulmonary Disease Physician
  • Newark, DE
National Provider Identifier
1740230309
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
DELAWARE MEDICAL CARE ASSOCIATES LLC
Practice address
537 Stanton Christiana Rd
Suite 212
Newark, DE 19713-2146
Phone
(302) 633-9033
Fax
(302) 633-9032
NPI assigned
May 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hummayun Ismail, M.D.NPI 1962422469
Title
Ceo
Phone
(302) 633-9033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

537 Stanton Christiana Rd
Suite 212
Newark, DE 19713-2146

Mailing address

537 Stanton Christiana Rd
Suite 212
Newark, DE 19713-2146
Phone (302) 633-9033

Other identifiers 1

IdentifierTypeStateIssuer
0000982302MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060811000120 DE Part B Supplier - Clinic/Group Practice 3375546351 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, DE
O20060811000126 MD Part B Supplier - Clinic/Group Practice 3375546351 Receives reassigned benefits from 1 practitioner
Practice locations: Elkton, MD

National Provider Directory

National Provider Directory

Locations

537 Stanton Christiana Rd
Ste 212
Newark, DE 19713
Phone (302) 633-9033

550 Stanton Christiana Rd
Ste 103
Newark, DE 19713
Phone (302) 633-9033

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740230309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 STANTON CHRISTIANA RD",
            "address_2": "SUITE 212",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132146",
            "telephone_number": "302-633-9033",
            "fax_number": "302-633-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 STANTON CHRISTIANA RD",
            "address_2": "SUITE 212",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132146",
            "telephone_number": "302-633-9033",
            "fax_number": "302-633-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE MEDICAL CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "HUMMAYUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-633-9033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000982302",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.