Active NPI
Kathiresan Suppiah, MD
- Hematology & Oncology Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- D0064409
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0008057 | DE | MD | Hematology & Oncology Physician |
| D0064409 | MD | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Hematology & Oncology | Current | Accepting new patients |
| Medical Oncology Hematology Consultants PA | Hematology & Oncology | Current | Accepting new patients |
| Christiana Care Health Services Inc | Hematology & Oncology | Current | Accepting new patients |
| Integrated Medical Group P C | Current | 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 | Current | Accepting new patients | |
| Integrated Medical Group, P.C. | Current | 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
- kathiresan.suppiah@dclp.ikm.direct-ci.com
- kathiresan.suppiah@mohc.ikm.direct-ci.com
- 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.
-
- Hematology & Oncology Physician
- Newark, DE
- NPI 1235199316
-
- Family Medicine Physician
- Pottsville, PA
- NPI 1336102268
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Hematology & Oncology Physician
- Elkton, MD
- NPI 1306375373
-
dba Christiana Care Cardiology of Southern Chester County
- Cardiovascular Disease Physician
- West Grove, PA
- NPI 1659547560
-
dba CCHS Oncology
- Gynecologic Oncology Physician
- Newark, DE
- NPI 1174508410
-
- Hematology & Oncology Physician
- West Grove, PA
- NPI 1194255604
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Reading, PA
- NPI 1881341303
-
- Internal Medicine Physician
- Pottsville, PA
- NPI 1366406761
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
dba Reading Surgery Center of the Surgical Institute of Reading, LLC
- Special Hospital
- Wyomissing, PA
- NPI 1124193511
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.