Individual provider Active NPI

Linda Ciavarelli, DPM

  • Foot & Ankle Surgery Podiatrist
  • Wilmington, DE
National Provider Identifier
1841388709
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E1-0000177 Issued in DE
Practice address
1010 N Bancroft Pkwy
Suite 12
Wilmington, DE 19805-2690
Phone
(302) 658-1129
Fax
(302) 658-7646
NPI assigned
Oct 10, 2006
Last updated
Apr 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E1-0000177 DE Primary
Foot Surgery Podiatrist 213ES0131X SC005825 PA

Addresses

Primary practice location

1010 N Bancroft Pkwy
Suite 12
Wilmington, DE 19805-2690

Mailing address

1010 N Bancroft Pkwy
Suite 12
Wilmington, DE 19805-2690
Phone (302) 658-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070215000549 DE Practitioner - Podiatry 2163423682 Reassigns benefits to 1 organization
I20260609003204 TX Practitioner - Podiatry 2163423682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS IHS Phoenix AreaGroup PAC ID 8921265000, 10 clinicians

Practice addresses (Care Compare)

515 Shoshone Cir
Elko, NV 89801-5072
Phone (775) 738-2252

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue386
Removal or shaving of skin growth142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1-0000177DEMDFoot & Ankle Surgery Podiatrist
SC005825PAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brandywine Podiatry, PA Foot & Ankle Surgery CurrentSince May 1, 2010 Accepting new patients
Brandywine Podiatry, PA Foot & Ankle Surgery CurrentSince May 1, 2010 Accepting new patients
Christiana Care Health Services Inc Foot & Ankle Surgery CurrentSince Apr 24, 2011 Accepting new patients
Christiana Care Health Services Inc CurrentSince Apr 24, 2011 Accepting new patients
Atlantic Skin & Cosmetic Surgery Group, P.C. Past Accepting new patients
Delaware Valley Dermatology Group LLC Past Accepting new patients

Locations

1010 N Bancroft Pkwy
Ste 12
Wilmington, DE 19805
Phone (302) 658-1129

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

Organizations & group practices 7

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1841388709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N BANCROFT PKWY",
            "address_2": "SUITE 12",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052690",
            "telephone_number": "302-658-1129",
            "fax_number": "302-658-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N BANCROFT PKWY",
            "address_2": "SUITE 12",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052690",
            "telephone_number": "302-658-1129",
            "fax_number": "302-658-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAVARELLI",
        "first_name": "LINDA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "DE",
            "license": "E1-0000177",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC005825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.