Individual provider Active NPI

Angelo Grillo, MD

  • Emergency Medicine Physician
  • Newark, DE
National Provider Identifier
1891773602
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C10004075 Issued in DE
Practice address
4755 Ogletown Stanton Road
Newark, DE 19718-0001
Phone
(302) 733-1000
Fax
(302) 733-1633
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C10004075 DE Primary

Addresses

Primary practice location

4755 Ogletown Stanton Road
Newark, DE 19718-0001

Mailing address

PO Box 3048
Wilmington, DE 19804-0048
Phone (302) 224-5878

Other identifiers 1

IdentifierTypeStateIssuer
0000494001MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 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
I20101029000616 DE Practitioner - Emergency Medicine 1759575137 Reassigns benefits to 3 organizations
I20210708000660 MD Practitioner - Emergency Medicine 1759575137 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10004075DEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 1, 2013 Accepting new patients
Christiana Care Health Services Inc Emergency Medicine CurrentSince Aug 1, 2013 Accepting new patients
Christiana Care Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Christiana Care Health Services, Inc Emergency Medicine CurrentSince Feb 11, 2014 Accepting new patients

Locations

621 Middletown Odessa Rd
Middletown, DE 19709
Phone (302) 203-1300

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891773602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3048",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198040048",
            "telephone_number": "302-224-5878",
            "fax_number": "302-224-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197180001",
            "telephone_number": "302-733-1000",
            "fax_number": "302-733-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILLO",
        "first_name": "ANGELO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C10004075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000494001",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.