Individual provider Active NPI

Islam Juma Al Junaidi, MD

  • Internal Medicine Physician
  • Smyrna, DE
National Provider Identifier
1891740866
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10004801 Issued in DE
Practice address
51 Deak Dr
Smyrna, DE 19977-1268
Phone
(302) 653-1281
Fax
(302) 653-1283
NPI assigned
May 24, 2006
Last updated
Jul 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C10004801 DE Primary

Addresses

Primary practice location

51 Deak Dr
Smyrna, DE 19977-1268

Mailing address

PO Box 539
Smyrna, DE 19977
Phone (302) 653-1281

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
I20041013000172 DE Practitioner - Internal Medicine 2163482522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware Medical Care PAGroup PAC ID 0749240109, 3 clinicians

Practice addresses (Care Compare)

51 Deak Dr
Smyrna, DE 19977-1268
Phone (302) 653-1281

Hospital & facility affiliations

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Medical Care PA Internal Medicine CurrentSince Mar 1, 2004 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Jan 1, 2001 Accepting new patients
Delaware Medical Group Current Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jan 1, 2001 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Apr 10, 2018 Accepting new patients

Locations

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

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

21 W Clarke Ave
Milford, DE 19963
Phone (302) 422-3311

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

51 Deak Dr
Smyrna, DE 19977
Phone (302) 653-1281

Organizations & group practices 5

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 7

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1891740866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "19977",
            "telephone_number": "302-653-1281",
            "fax_number": "302-653-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 DEAK DR",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771268",
            "telephone_number": "302-653-1281",
            "fax_number": "302-653-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL JUNAIDI",
        "first_name": "ISLAM",
        "middle_name": "JUMA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10004801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

Verify at the official NPI Registry.