Individual provider Active NPI

Reshmi Udesh, MBBS

  • Surgery Physician
  • Seaford, DE
National Provider Identifier
1770014474
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C1-0025271 Issued in DE
Practice address
201 Health Service Drive
Seaford, DE 19973
Phone
(302) 297-2504
Fax
(302) 297-2505
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X C1-0025271 DE Primary

Addresses

Primary practice location

201 Health Service Drive
Seaford, DE 19973

Mailing address

Howard University Hospital 2041 Georgia Ave NW
Washington, DC 20059-0001

Other practice location 1

Howard University Hospital 2041 Georgia Ave NW
Washington, DC 20059-0001
Phone (202) 865-6100

Other identifiers 1

IdentifierTypeStateIssuer
1770014474MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220825002217 DE Practitioner - General Surgery 7315216850 Reassigns benefits to 1 organization
I20251002000077 NC Practitioner - General Surgery 7315216850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians
DLP Maria Parham Physician Practices LLCGroup PAC ID 7719153683, 54 clinicians

Practice addresses (Care Compare)

100 Rawlins Dr
Seaford, DE 19973-5881
Phone (302) 990-3300

120 Charles Rollins Rd
Suite 206
Henderson, NC 27536-2882
Phone (252) 433-0430

Hospital & facility affiliations

  • Maria Parham Medical Center Hospital, Henderson, NC, CCN 340132
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue17
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Physician Network, Inc. Multi-Specialty CurrentSince Aug 15, 2022 Accepting new patients
DLP Maria Parham Physician Practices, LLC Multi-Specialty Current Accepting new patients
DLP Maria Parham Physician Practices, LLC Multi-Specialty CurrentSince Aug 20, 2025 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Aug 20, 2025 Accepting new patients
Tidalhealth Nanticoke, Inc Multi-Specialty Past Accepting new patients
DLP Maria Parham Physician Practices, LLC Multi-Specialty Past Accepting new patients

Locations

100 Rawlins Dr
Seaford, DE 19973
Phone (302) 536-5415

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

201 Health Services Dr
Seaford, DE 19973
Phone (302) 297-2412

120 Charles Rollins Rd
Ste 206
Henderson, NC 27536
Phone (252) 433-0430

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

205 Sandalwood Ave
Ste B
Louisburg, NC 27549
Phone (919) 340-7010

Interoperability endpoints

  • Direct secure messaging: reshmi.udesh.1@20247.direct.athenahealth.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 3

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1770014474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HOWARD UNIVERSITY HOSPITAL 2041 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200590001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HEALTH SERVICE DRIVE",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "19973",
            "telephone_number": "302-297-2504",
            "fax_number": "302-297-2505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Howard University Hospital 2041 Georgia Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200590001",
            "country_code": "US",
            "telephone_number": "202-865-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDESH",
        "first_name": "RESHMI",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "DE",
            "license": "C1-0025271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770014474",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.