Individual provider Active NPI

Kathiresan Suppiah, MD

  • Hematology & Oncology Physician
  • Newark, DE
National Provider Identifier
1851340392
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0064409 Issued in MD
Practice address
4701 Ogletown Stanton Rd
Suite 2400
Newark, DE 19713-2055
Phone
(302) 731-7782
Fax
(302) 738-5917
NPI assigned
May 10, 2006
Last updated
Jul 31, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X D0064409 MD Primary

Addresses

Primary practice location

4701 Ogletown Stanton Rd
Suite 2400
Newark, DE 19713-2055

Mailing address

109 Merry Met Farms Dr
Kennett Square, PA 19348-1697
Phone (302) 731-7782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20060814000243 DE Practitioner - Hematology/Oncology 7214930262 Reassigns benefits to 2 organizations
I20060814000254 MD Practitioner - Hematology/Oncology 7214930262 Reassigns benefits to 1 organization
I20060919000452 PA Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Hematology/Oncology 7214930262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Oncology Hematology Consultants PAGroup PAC ID 6305923756, 32 clinicians
Integrated Medical Group P CGroup PAC ID 1355247180, 105 clinicians

Practice addresses (Care Compare)

4701 Ogletown Stanton Rd
Suite 3400
Newark, DE 19713-7007
Phone (302) 366-1200

700 E Norwegian St
Pottsville, PA 17901-2710
Phone (570) 621-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0008057DEMDHematology & Oncology Physician
D0064409MDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Sep 1, 2017 Accepting new patients
Christiana Care Health Services Inc Hematology & Oncology CurrentSince Sep 1, 2017 Accepting new patients
Medical Oncology Hematology Consultants PA Hematology & Oncology CurrentSince Jul 1, 2025 Accepting new patients
Christiana Care Health Services Inc Hematology & Oncology CurrentSince Sep 1, 2017 Accepting new patients
Integrated Medical Group P C CurrentSince Dec 1, 2023 Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 1, 2017 Accepting new patients
Integrated Medical Group, P.C. CurrentSince Dec 1, 2023 Accepting new patients
Integrated Medical Group Past Accepting new patients

Locations

651 N Broad St
Ste 406
Middletown, DE 19709
Phone (302) 366-1200

4701 Ogletown Stanton Rd
Ste 2100
Newark, DE 19713
Phone (302) 623-4530

4701 Ogletown Stanton Rd
Ste 2200
Newark, DE 19713
Phone (302) 366-1200

4701 Ogletown Stanton Rd
Ste 2400
Newark, DE 19713
Phone (302) 731-7782

4701 Ogletown Stanton Rd
Ste 3400
Newark, DE 19713
Phone (302) 366-1200

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

111 W High St
Ste 104
Elkton, MD 21921
Phone (410) 392-5566

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

48 Tunnel Rd
Ste 104
Pottsville, PA 17901
Phone (570) 622-5555

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

82 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5455

1011 W Baltimore Pike
Ste 307
West Grove, PA 19390
Phone (610) 869-1240

2752 Century Blvd
Wyomissing, PA 19610
Phone (610) 372-8031

Interoperability endpoints

  • Direct secure messaging: kathiresan.suppiah@dclp.ikm.direct-ci.com
  • Direct secure messaging: kathiresan.suppiah@mohc.ikm.direct-ci.com
  • Direct secure messaging: ksuppiah@rhopa.direct.varian.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1851340392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MERRY MET FARMS DR",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481697",
            "telephone_number": "302-731-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "SUITE 2400",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132055",
            "telephone_number": "302-731-7782",
            "fax_number": "302-738-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPPIAH",
        "first_name": "KATHIRESAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0064409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.