Islam Juma Al Junaidi, MD
Individual provider Active NPI Internal Medicine Physician · Smyrna, DE
NPI 1891740866 · NPPES record last updated Jul 15, 2008
Key facts
- NPI
- 1891740866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- C10004801 (DE)
- Practice address
- 51 Deak Dr
Smyrna, DE 19977-1268 - Phone
- (302) 653-1281
- Fax
- (302) 653-1283
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- 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 PA
Practice addresses (Care Compare)
51 Deak Dr
Smyrna, DE 19977-1268
Phone (302) 653-1281
Hospital & facility affiliations
- Christianacare Homehealth
- Bayada Home Health Care at Bayhealth
- Aveanna Home Healthcare
- Amedisys Delaware, LLC
- Bayhealth Medical Center, Kent Campus
- Christiana Hospital
- Bayhealth Hospital, Sussex Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041013000172 | DE | Practitioner - Internal Medicine | 2163482522 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10004801 | DE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc | Current |
Accepting new patients | |
| Delaware Medical Group | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current |
Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current |
Accepting new patients | |
| Delaware Medical Care PA | Internal Medicine | Current |
Accepting new patients |
Locations
640 S State St
Dover, DE 19901
Phone (302) 744-4700
21 W Clarke Ave
Milford, DE 19963
Phone (302) 422-3311
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
51 Deak Dr
Smyrna, DE 19977
Phone (302) 653-1281
315 N Carter Rd
Smyrna, DE 19977
Phone (302) 355-2383
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C10004801 | DE | Yes |
Addresses
Primary practice location
51 Deak Dr
Smyrna, DE 19977-1268
Mailing address
PO Box 539
Smyrna, DE 19977
Phone (302) 653-1281
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088801525 | Other | DE | TRICARE |
Other providers in Smyrna, DE
- Above & Beyond Home Care LLC
- Acme Markets Inc
- Acts From the Heart LLC
- Affordable Health Care of Delaware
- La'Chanda Quinnette Akers
- Olabisi Alihu
- Erica Marie Allen
- Christopher Alvarez
- Deborah Ambali
- American Legion Ambulance Station 64 Inc
All providers in Smyrna, DE · Internal Medicine Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.