Individual provider Active NPI

Michelle Marie Pacis, MD

  • Obstetrics & Gynecology Physician
  • Newark, DE
National Provider Identifier
1821383555
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C1-0013343 Issued in DE
Practice address
4735 Ogletown Stanton Rd Ste 2103
Newark, DE 19713-8000
Phone
(302) 623-4410
Fax
(302) 623-4415
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C1-0013343 DE Primary

Addresses

Primary practice location

4735 Ogletown Stanton Rd Ste 2103
Newark, DE 19713-8000

Mailing address

4735 Ogletown Stanton Rd Ste 2103
Newark, DE 19713-8000
Phone (302) 623-4410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DE2 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
I20171004001020 NY Practitioner - Obstetrics/Gynecology 9436462611 Reassigns benefits to 1 organization
I20191010000705 DE Practitioner - Obstetrics/Gynecology 9436462611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

4735 Ogletown Stanton Rd
Suite 2103
Newark, DE 19713-8000
Phone (302) 623-4410

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Obstetrics & Gynecology CurrentSince Aug 11, 2017 Accepting new patients
Christiana Care Health Services Inc Obstetrics & Gynecology CurrentSince Sep 19, 2019 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 19, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Aug 11, 2017 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients

Locations

4755 Oglewtown Stant S 190
Newark, DE 19718
Phone (302) 733-6510

4735 Stanton Ogletown Rd
Ste 2103
Newark, DE 19713
Phone (302) 623-4285

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

111 E 210th St
Bronx, NY 10467

3332 Rochambeau Ave
Bronx, NY 10467
Phone (718) 920-5520

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.

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": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1821383555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD STE 2103",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197138000",
            "telephone_number": "302-623-4410",
            "fax_number": "302-623-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD STE 2103",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197138000",
            "telephone_number": "302-623-4410",
            "fax_number": "302-623-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACIS",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C1-0013343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.