Individual provider Active NPI

Judith Rippert, D.O.

  • Cardiovascular Disease Physician
  • Dover, DE
National Provider Identifier
1871563114
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C2-0005033 Issued in DE
Practice address
200 Banning St
Suite 340
Dover, DE 19904-3485
Phone
(302) 734-1414
Fax
(302) 734-2121
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C2-0005033 DE Primary

Addresses

Primary practice location

200 Banning St
Suite 340
Dover, DE 19904-3485

Mailing address

PO
Box 512241
Philadelphia, PA 19175-2241
Phone (302) 734-1414

Other identifiers 1

IdentifierTypeStateIssuer
0000885803MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060817000448 DE Practitioner - Cardiovascular Disease (Cardiology) 5991797953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians

Practice addresses (Care Compare)

200 Banning St
Suite 340
Dover, DE 19904-3490
Phone (302) 734-1414

640 S State St
Kent Campus
Dover, DE 19901-3530
Phone (302) 744-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jul 11, 1997 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Jul 11, 1997 Accepting new patients
Bayhealth Medical Center, Inc Cardiovascular Disease CurrentSince Jun 29, 2019 Accepting new patients
Bayhealth Medical Center, Inc Cardiovascular Disease CurrentSince Apr 1, 2019 Accepting new patients
Christiana Care Health Initiatives Past Accepting new patients
Cardiology Physicians, LLC Cardiovascular Disease Past Accepting new patients

Locations

200 Banning St
Ste 340
Dover, DE 19904
Phone (302) 734-1414

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

112 Sussex Ave
Ste 101
Milford, DE 19963
Phone (302) 393-5500

315 N Carter Rd
Smyrna, DE 19977
Phone (302) 355-2383

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 and National Provider Directory roles.

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1871563114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO",
            "address_2": "BOX 512241",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191752241",
            "telephone_number": "302-734-1414",
            "fax_number": "302-734-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST",
            "address_2": "SUITE 340",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043485",
            "telephone_number": "302-734-1414",
            "fax_number": "302-734-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPERT",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C2-0005033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000885803",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.