Individual provider Active NPI

Kathleen Willey, M.D.

  • Family Medicine Physician
  • Hockessin, DE
National Provider Identifier
1821097114
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10005226 Issued in DE
Practice address
722 Yorklyn Rd
Suite 400
Hockessin, DE 19707-8718
Phone
(302) 235-2351
Fax
(302) 235-2365
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C10005226 DE Primary

Addresses

Primary practice location

722 Yorklyn Rd
Suite 400
Hockessin, DE 19707-8718

Mailing address

722 Yorklyn Rd
Suite 400
Hockessin, DE 19707-8718
Phone (302) 235-2351

Other identifiers 1

IdentifierTypeStateIssuer
0000944501MedicaidDE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000170 DE Practitioner - Family Practice 2466489125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

722 Yorklyn Rd
Suite 400
Hockessin, DE 19707-8740
Phone (302) 235-2351

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

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 Sep 6, 2022 Accepting new patients
Christiana Care Health Services, Inc Family Medicine CurrentSince Sep 6, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

722 Yorklyn Rd
Ste 400
Hockessin, DE 19707
Phone (302) 235-2351

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

Organizations & group practices 4

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1821097114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 YORKLYN RD",
            "address_2": "SUITE 400",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078718",
            "telephone_number": "302-235-2351",
            "fax_number": "302-235-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 YORKLYN RD",
            "address_2": "SUITE 400",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078718",
            "telephone_number": "302-235-2351",
            "fax_number": "302-235-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10005226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000944501",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hockessin, DE

Sources for this page

Verify at the official NPI Registry.