NPIMap

Organization Active NPI

Nutrihealth LLC

  • Internal Medicine Physician
  • Middletown, DE
National Provider Identifier
1821703430
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NUTRIHEALTH LLC
Practice address
118 Sandhill Dr Ste 201
Middletown, DE 19709-5859
Phone
(302) 652-5109
NPI assigned
Jan 18, 2023
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Beshara Helou, MDNPI 1407811490
Title
Owner
Phone
(302) 856-3737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

118 Sandhill Dr Ste 201
Middletown, DE 19709-5859

Mailing address

20930 Dupont Blvd Unit 101
Georgetown, DE 19947-1723
Phone (302) 202-3438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200318000782 DE Part B Supplier - Clinic/Group Practice 9537597919 Receives reassigned benefits from 39 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, DE; Georgetown, DE; Newark, DE; Millville, DE; Millsboro, DE; Milford, DE; Middletown, DE; Lewes, DE…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Nutrihealth LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20930 DuPont Blvd
Unit 202
Georgetown, DE 19947
Phone (302) 202-3438

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1821703430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20930 DUPONT BLVD UNIT 101",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471723",
            "telephone_number": "302-202-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SANDHILL DR STE 201",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095859",
            "telephone_number": "302-652-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "HELOU",
        "authorized_official_first_name": "BESHARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-856-3737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.