Organization Active NPI

Wilmington Medical Associates, P.a.

  • Internal Medicine Physician
  • Wilmington, DE
National Provider Identifier
1831143924
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WILMINGTON MEDICAL ASSOCIATES, P.A.
Practice address
2700 Silverside Rd
Suite 3
Wilmington, DE 19810-3719
Phone
(302) 478-0400
Fax
(302) 478-3827
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. Kenneth M Demarco, M.D.NPI 1841289899
Title
President
Phone
(302) 478-0400

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 DE Primary

Addresses

Primary practice location

2700 Silverside Rd
Suite 3
Wilmington, DE 19810-3719

Mailing address

2700 Silverside Rd
Suite 3
Wilmington, DE 19810-3719
Phone (302) 478-0400

Other identifiers 6

IdentifierTypeStateIssuer
0000613902MedicaidDE
311300OtherAETNA
110117904OtherDERAILROAD
33558OtherUNITED HEALTHCARE
0123277000OtherAMERIHEALTH
110117904OtherRAILROAD MEDICATE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050729000739 DE Part B Supplier - Clinic/Group Practice 2466480520 Receives reassigned benefits from 2 practitioners
Practice locations: Wilmington, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D0712096Wilmington Med Associates PA2700 Silverside Rd, Wilmington, DE 19810Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2700 Silverside Rd
Ste 3
Wilmington, DE 19810
Phone (302) 478-0400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1831143924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SILVERSIDE RD",
            "address_2": "SUITE 3",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103719",
            "telephone_number": "302-478-0400",
            "fax_number": "302-478-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SILVERSIDE RD",
            "address_2": "SUITE 3",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103719",
            "telephone_number": "302-478-0400",
            "fax_number": "302-478-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-478-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000613902",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "311300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110117904",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "33558",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0123277000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICATE",
            "identifier": "110117904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.