Individual provider Active NPI

Uday S Uthaman, M.D.

  • Pain Medicine Physician
  • Wilmington, DE
National Provider Identifier
1871661041
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
C1-0004306 Issued in DE
Practice address
2055 Limestone Rd
Suite 201
Wilmington, DE 19808-5536
Phone
(302) 737-0800
Fax
(302) 738-4914
NPI assigned
Dec 4, 2006
Last updated
Mar 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA05838200 NJ
Pain Medicine Physician 208VP0000X C1-0004306 DE Primary

Addresses

Primary practice location

2055 Limestone Rd
Suite 201
Wilmington, DE 19808-5536

Mailing address

PO Box 8252
Newark, DE 19714-8252
Phone (302) 737-0800

Other identifiers 7

IdentifierTypeStateIssuer
0849086001OtherNJAMERIHEALTH NJ
1000002346OtherDEDPCI
223661501OtherDEBCBS FEP DE
0000561501MedicaidDE
6361609MedicaidNJ
SA000001920OtherNJAMERICHOICE NJ
2641132000OtherDEAMERIHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, 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
I20091120000376 NJ Practitioner - Family Practice 2466591011
I20120308000434 DE Practitioner - Pain Management 2466591011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2055 Limestone Rd
Wilmington, DE 19808-5536
Phone (302) 737-0800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Pain & Spine Center, Inc. Pain Medicine CurrentSince Sep 8, 1994 Accepting new patients

Locations

2055 Limestone Rd
Ste 201
Wilmington, DE 19808
Phone (302) 737-0800

Organizations & group practices 2

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 5

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1871661041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8252",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197148252",
            "telephone_number": "302-737-0800",
            "fax_number": "302-738-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 LIMESTONE RD",
            "address_2": "SUITE 201",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085536",
            "telephone_number": "302-737-0800",
            "fax_number": "302-738-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTHAMAN",
        "first_name": "UDAY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA05838200",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "DE",
            "license": "C1-0004306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH NJ",
            "identifier": "0849086001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPCI",
            "identifier": "1000002346",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEP DE",
            "identifier": "223661501",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000561501",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6361609",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE NJ",
            "identifier": "SA000001920",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2641132000",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.