Individual provider Active NPI

Jill Hamburg, P.A.

  • Medical Physician Assistant
  • Newark, DE
National Provider Identifier
1750367488
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA02777 Issued in TX
Practice address
4745 Ogletown Stanton Rd Ste 134
Newark, DE 19713-2074
Phone
(302) 738-5300
NPI assigned
Dec 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C11-0000001 DE
Medical Physician Assistant 363AM0700X MA063269 PA
Medical Physician Assistant 363AM0700X 59981 CA
Medical Physician Assistant 363AM0700X 085008335 IL
Medical Physician Assistant 363AM0700X PA02777 TX Primary

Addresses

Primary practice location

4745 Ogletown Stanton Rd Ste 134
Newark, DE 19713-2074

Mailing address

3200 Winged Elm Dr
Cedar Park, TX 78613-4384
Phone (512) 923-5179

Other practice location 1

325 Central Ave Ste 200
Malvern, PA 19355-3265
Phone (610) 644-6755

Other practice location 2

9850 Genesee Ave Ste 770
LA Jolla, CA 92037-1232
Phone (858) 453-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, PA, NY, CA, IL, DE7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20110330000405 TX Practitioner - Physician Assistant 6002099942 Reassigns benefits to 2 organizations
I20220301001441 FL Practitioner - Physician Assistant 6002099942
I20230120000898 PA Practitioner - Physician Assistant 6002099942 Reassigns benefits to 1 organization
I20230120001616 NY Practitioner - Physician Assistant 6002099942
I20230120001689 CA Practitioner - Physician Assistant 6002099942 Reassigns benefits to 1 organization
I20230125003462 IL Practitioner - Physician Assistant 6002099942
I20230505001117 DE Practitioner - Physician Assistant 6002099942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians
Delaware Center for Digestive Care LLCGroup PAC ID 5890089353, 68 clinicians
La Jolla Gastroenterology Medical Group, IncGroup PAC ID 7810925096, 5 clinicians

Practice addresses (Care Compare)

2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600

4745 Ogletown Stanton Rd
Newark, DE 19713-2074
Phone (302) 738-5300

9850 Genesee Ave
Suite 770
La Jolla, CA 92037-1232
Phone (858) 453-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
026821NYMDClinical Psychologist
59981CAMDMedical Physician Assistant
085008335ILMDMedical Physician Assistant
MA063269PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC CurrentSince Oct 1, 2016 Accepting new patients
Midatlantic Endoscopy LLC Current Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince May 1, 2023 Accepting new patients
Openloop Healthcare Partners California PC CurrentSince Jan 12, 2023 Accepting new patients
La Jolla Gastroenterology Medical Group, Inc CurrentSince Feb 3, 2026 Accepting new patients
Comprehensive Gastrointestinal Health, LLC Past Accepting new patients
Welltrackone Corporation PastSince Dec 15, 2023 Accepting new patients
Imaging Resource Centers LTD Past Accepting new patients
Main Line Gastroenterology Associates, PC Past Accepting new patients

Locations

9850 Genesee Ave
Ste 770
La Jolla, CA 92037
Phone (858) 453-5200

818 W 7th St
Los Angeles, CA 90017
Phone (949) 694-4937

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

71935 Highway 111
Rancho Mirage, CA 92270
Phone (949) 694-4937

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

650 Carnegie Blvd
Ste 100
Malvern, PA 19355

325 Central Ave
Ste 200
Malvern, PA 19355

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1750367488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WINGED ELM DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134384",
            "telephone_number": "512-923-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 OGLETOWN STANTON RD STE 134",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132074",
            "telephone_number": "302-738-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Central Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "PA",
            "postal_code": "193553265",
            "country_code": "US",
            "telephone_number": "610-644-6755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9850 Genesee Ave Ste 770",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371232",
            "country_code": "US",
            "telephone_number": "858-453-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMBURG",
        "first_name": "JILL",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C11-0000001",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063269",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "59981",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085008335",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.