Active NPI
Chitra Vaidy, MD
- Pediatrics Physician
- Middletown, DE
National Provider Identifier
1780759050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C10004195
- Practice address
- 200 Cleaver Farm Rd Ste 201
Nemours Dupont Pediatrics, Middletown
Middletown, DE 19709-1630 - Phone
- (302) 378-5100
- Fax
- (302) 378-5106
- NPI assigned
- Nov 22, 2006
- Last updated
- Oct 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C10004195 | DE | Primary |
| General Practice Physician | 208D00000X | C10004195 | DE |
Addresses
Primary practice location
200 Cleaver Farm Rd Ste 201
Nemours Dupont Pediatrics, Middletown
Middletown, DE 19709-1630
Mailing address
PO Box 191
Provider Enrollment Department
Wilmington, DE 19899-0191
Phone (904) 697-4201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0480363 | Medicaid | NJ |
Other names 1
- Dr. Chitra Vaidyanathan
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10004195 | DE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Past | Accepting new patients |
Locations
200 Cleaver Farms Rd
Ste 201
Middletown, DE 19709
Phone (302) 378-5100
1600 Rockland Rd
Wilmington, DE 19803
Interoperability endpoints
- cvaidy28021@direct.nemours.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Wilmington, DE
- NPI 1366594699
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1780759050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"address_2": "PROVIDER ENROLLMENT DEPARTMENT",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198990191",
"telephone_number": "904-697-4201",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CLEAVER FARM RD STE 201",
"address_2": "NEMOURS DUPONT PEDIATRICS, MIDDLETOWN",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197091630",
"telephone_number": "302-378-5100",
"fax_number": "302-378-5106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAIDY",
"first_name": "CHITRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C10004195",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "DE",
"license": "C10004195",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0480363",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHITRA",
"last_name": "VAIDYANATHAN",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Middletown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.