NPIMap

Organization Active NPI

Cardiovascular Consultants of Southern Delaware

  • Cardiovascular Disease Physician
  • Lewes, DE
National Provider Identifier
1851697908
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C1-0005267 Issued in DE
Legal business name
CARDIOVASCULAR CONSULTANTS OF SOUTHERN DELAWARE
Practice address
16704 Kings Hwy
Lewes, DE 19958-4929
Phone
(302) 645-1233
Fax
(302) 645-1228
NPI assigned
Feb 8, 2011
Last updated
Feb 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Dr. Kenneth P Sunnegren, M.D.
Title
Physician/Owner
Phone
(302) 645-1233

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X C1-0005267 DE Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X C1-0005239 DE
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X C1-0002770 DE

Addresses

Primary practice location

16704 Kings Hwy
Lewes, DE 19958-4929

Mailing address

16704 Kings Hwy
Lewes, DE 19958-4929
Phone (302) 645-1233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110421000197 DE Part B Supplier - Clinic/Group Practice 2860677606 Receives reassigned benefits from 11 practitioners
Practice locations: Lewes, DE; Millville, DE; Rehoboth Beach, 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
08D0981728Cardiovascular Consultants of Southern Delaware16704 Kings Highway, Lewes, DE 19958Certificate of waiverJan 3, 2027

National Provider Directory

National Provider Directory

Locations

33665 Bayview Medical Dr
Unit 2
Lewes, DE 19958
Phone (302) 645-1233

35141 Atlantic Ave
Unit 3
Millville, DE 19967
Phone (302) 366-5646

Interoperability endpoints

  • Direct secure messaging: akumar@cvcde.direct.gemmsnet.com
  • Direct secure messaging: gmyers@cvcde.direct.gemmsnet.com
  • FHIR API: https://app.meldrx.com/api/fhir/gemms-car06

Practitioners & affiliated clinicians

Practitioners 11

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": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1851697908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16704 KINGS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584929",
            "telephone_number": "302-645-1233",
            "fax_number": "302-645-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16704 KINGS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584929",
            "telephone_number": "302-645-1233",
            "fax_number": "302-645-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS OF SOUTHERN DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "SUNNEGREN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "302-645-1233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C1-0005267",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C1-0005239",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C1-0002770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.