Individual provider Active NPI

Crystal Dimauro, PA

  • Physician Assistant
  • Wilmington, DE
National Provider Identifier
1750832812
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0001097 Issued in DE
Practice address
1941 Limestone Rd Ste 101
Wilmington, DE 19808-5413
Phone
(302) 655-9494
Fax
(302) 691-1478
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0001097 DE Primary

Addresses

Primary practice location

1941 Limestone Rd Ste 101
Wilmington, DE 19808-5413

Mailing address

1941 Limestone Rd
Ste 101
Wilmington, DE 19808-5413
Phone (302) 655-9494

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170112001336 DE Practitioner - Physician Assistant 3072895770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Orthopaedic Associates PAGroup PAC ID 4880681485, 62 clinicians

Practice addresses (Care Compare)

1941 Limestone Rd
Suite 101
Wilmington, DE 19808-5413
Phone (302) 655-9494

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

Merit-based Incentive Payment System (MIPS)

Final score
82.23 of 100Reported as group
Quality
76.62
Promoting interoperability
100
Improvement activities
30
Cost
76.66

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Orthopaedic Associates PA Physician Assistant CurrentSince Oct 13, 2016 Accepting new patients
Regional Orthopaedic Associates PA Physician Assistant CurrentSince Oct 13, 2016 Accepting new patients

Locations

252 Carter Dr
Ste 200
Middletown, DE 19709

4923 Ogletown Stanton Rd
Ste 300
Newark, DE 19713
Phone 30265594941191

1096 Old Churchmans Rd
Newark, DE 19713
Phone (302) 351-4848

3401 Brandywine Pkwy
Ste 101
Wilmington, DE 19803
Phone (302) 633-3555

3401 Brandywine Pkwy
Ste 100
Wilmington, DE 19803

1941 Limestone Rd
Ste 101
Wilmington, DE 19808
Phone (302) 633-3555

Interoperability endpoints

  • Direct secure messaging: cdimauro@direct.delortho.com

Organizations & group practices 6

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 1

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1750832812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 LIMESTONE RD",
            "address_2": "STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085413",
            "telephone_number": "302-655-9494",
            "fax_number": "302-691-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 LIMESTONE RD STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085413",
            "telephone_number": "302-655-9494",
            "fax_number": "302-691-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAURO",
        "first_name": "CRYSTAL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0001097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.