Active NPI
Shraddha N Patel, PA-C
- Medical Physician Assistant
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C5-0000809
- Practice address
- 774 Christiana Rd Ste 201
Newark, DE 19713-4221 - Phone
- (302) 731-3017
- Fax
- (302) 292-8102
- NPI assigned
- Dec 7, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C5-0000809 | DE | Primary |
Addresses
Primary practice location
774 Christiana Rd Ste 201
Newark, DE 19713-4221
Mailing address
774 Christiana Rd Ste 201
Newark, DE 19713-4221
Phone (302) 731-3017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0222075 | Other | IL | BLUE CROSS BLUE SHIELD GROUP |
Other names 1
- Shraddha G Mahadevia
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1401 Foulk Rd
Wilmington, DE 19803-2764
200 Hygeia Dr
Newark, DE 19713-2049
4735 Ogletown Stanton Rd
Newark, DE 19713-2089
735 Mapleton Ave
Suite 100a
Middletown, DE 19709-1561
Phone (302) 203-2440
774 Christiana Rd
Suite 201
Newark, DE 19713-4221
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0000809 | DE | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Past | Accepting new patients |
Locations
200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701
200 Hygeia Dr
Ste 1420
Newark, DE 19713
Phone (302) 623-3017
774 Christiana Rd
Ste 201
Newark, DE 19713
Phone (302) 623-3017
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
Organizations & group practices 5
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.
-
- Neurology Physician
- Newark, DE
- NPI 1457593949
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Newark, DE
- NPI 1982778270
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Family Medicine Physician
- Hockessin, DE
- NPI 1134104565
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1790088128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 CHRISTIANA RD STE 201",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134221",
"telephone_number": "302-731-3017",
"fax_number": "302-292-8102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 CHRISTIANA RD STE 201",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134221",
"telephone_number": "302-731-3017",
"fax_number": "302-292-8102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHRADDHA",
"middle_name": "N",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-07",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "DE",
"license": "C5-0000809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD GROUP",
"identifier": "0222075",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHRADDHA",
"last_name": "MAHADEVIA",
"middle_name": "G",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 20, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.