Individual provider Active NPI

Stephen Francis Penny, MD

  • Neurology Physician
  • Dover, DE
National Provider Identifier
1881691236
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
C10004347 Issued in DE
Practice address
1095 S Bradford St
Dover, DE 19904-4141
Phone
(302) 678-8100
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X C10004347 DE Primary

Addresses

Primary practice location

1095 S Bradford St
Dover, DE 19904-4141

Mailing address

1095 S Bradford St
Dover, DE 19904-4141
Phone (302) 678-8100

Other identifiers 1

IdentifierTypeStateIssuer
0000563901MedicaidDE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spenny14815@bayhealth.direct-ci.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Jefferson Medical College of Thomas Jefferson University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1074 S State St
Dover, DE 19901-6925

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10004347DEMDNeurology Physician

Interoperability endpoints

  • Direct secure messaging: spenny14815@bayhealth.direct-ci.net

Hospital & facility affiliations 3

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1881691236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 S BRADFORD ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044141",
            "telephone_number": "302-678-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 S BRADFORD ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044141",
            "telephone_number": "302-678-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNY",
        "first_name": "STEPHEN",
        "middle_name": "FRANCIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DE",
            "license": "C10004347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000563901",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spenny14815@bayhealth.direct-ci.net",
            "affiliation": "N",
            "endpointDescription": "care document sharing in EPIC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct email",
            "address_1": "1074 S State St",
            "city": "Dover",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199016925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.