Individual provider Active NPI

James Ignatius Tikellis, MD

  • Surgery Physician
  • Newark, DE
National Provider Identifier
1811952153
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C10002901 Issued in DE
Practice address
4735 Ogletown Stanton Road
Medical Arts Pavilion 2, Suite 3301
Newark, DE 19713-2067
Phone
(302) 623-4370
Fax
(302) 623-4375
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C10002901 DE Primary

Addresses

Primary practice location

4735 Ogletown Stanton Road
Medical Arts Pavilion 2, Suite 3301
Newark, DE 19713-2067

Mailing address

200 Hygeia Dr
Suite 2300
Newark, DE 19713-2049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 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
I20070228000651 DE Practitioner - General Surgery 3274635875 Reassigns benefits to 1 organization
Practice locations: Newark, DE
I20211115001618 MD Practitioner - General Surgery 3274635875 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 29, 2013 Accepting new patients
Union Hospital of Cecil County CurrentSince Aug 11, 2021 Accepting new patients
Union Hospital of Cecil County Surgery CurrentSince Aug 11, 2021 Accepting new patients
Christiana Care Health Services, Inc Surgery CurrentSince Jan 29, 2013 Accepting new patients

Locations

4735 Ogletown Stanton Rd
Ste 3301
Newark, DE 19713
Phone (302) 623-4370

2600 Glasgow Ave
Ste 106
Newark, DE 19702
Phone (302) 529-5500

4701 Ogletown Stanton Rd
Ste 1340
Newark, DE 19713
Phone (302) 733-0404

4735 Ogletown Stanton Rd
Ste 1221
Newark, DE 19713
Phone (302) 292-3300

4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

501 W 14th St
#4154
Wilmington, DE 19801
Phone (302) 428-4175

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1811952153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "address_2": "SUITE 2300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON ROAD",
            "address_2": "MEDICAL ARTS PAVILION 2, SUITE 3301",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132067",
            "telephone_number": "302-623-4370",
            "fax_number": "302-623-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIKELLIS",
        "first_name": "JAMES",
        "middle_name": "IGNATIUS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "C10002901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.