Individual provider Active NPI

Hilary Haack, DO

  • Family Medicine Physician
  • Millsboro, DE
National Provider Identifier
1861839623
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.012376 Issued in OH
Practice address
30265 Commerce Dr Unit 206
Millsboro, DE 19966-3595
Phone
(302) 732-8400
Fax
(302) 934-6705
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.012376 OH Primary

Addresses

Primary practice location

30265 Commerce Dr Unit 206
Millsboro, DE 19966-3595

Mailing address

1251 Clark St
Cambridge, OH 43725-9612

Other practice location 1

1230 Clark St Ste A
Cambridge, OH 43725-9611
Phone (740) 439-7772

Other practice location 2

100 E Carroll St
Salisbury, MD 21801-5493
Phone (180) 074-9519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180425001794 MD Practitioner - Family Practice 5698060754 Reassigns benefits to 1 organization
I20180523001636 DE Practitioner - Family Practice 5698060754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Primary Care LLCGroup PAC ID 7911320635, 63 clinicians

Practice addresses (Care Compare)

30265 Commerce Dr
Unit 206
Millsboro, DE 19966-3595
Phone (302) 732-8400

Hospital & facility affiliations

  • Beebe Hospital Home Health Home health agency, Millsboro, DE, CCN 087023
  • Amedisys Home Health Home health agency, Georgetown, DE, CCN 087034
  • Tidalhealth Home Care Home health agency, Laurel, DE, CCN 087036
  • Aveanna Home Healthcare Home health agency, Milford, DE, CCN 087039
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.012376OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Primary Care, LLC Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Tidalhealth Specialty Care, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

30668 Sussex Hwy
Laurel, DE 19956
Phone (302) 251-8870

30265 Commerce Dr
Unit 206
Millsboro, DE 19966
Phone (302) 732-8400

30265 Commerce Dr
Unit 207
Millsboro, DE 19966
Phone (302) 297-2594

30265 Commerce Dr
Ste 207B
Millsboro, DE 19966
Phone (302) 732-8400

11101 Cathage Rd
Unit 102
Berlin, MD 21811
Phone (410) 912-6104

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

145 E Carroll St
Ste A
Salisbury, MD 21801

1639 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 543-7475

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

428 W Market St
Snow Hill, MD 21863
Phone (410) 632-0892

Interoperability endpoints

  • Direct secure messaging: hilary.haack.p2@direct.clinicalassociates.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1861839623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30265 COMMERCE DR UNIT 206",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663595",
            "telephone_number": "302-732-8400",
            "fax_number": "302-934-6705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Clark St Ste A",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437259611",
            "country_code": "US",
            "telephone_number": "740-439-7772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E Carroll St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218015493",
            "country_code": "US",
            "telephone_number": "180-074-9519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAACK",
        "first_name": "HILARY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.012376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.