Individual provider Active NPI

Reynold S Agard, M.D.

  • Internal Medicine Physician
  • Newark, DE
National Provider Identifier
1902811730
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10005529 Issued in PA
Practice address
314 E Main St
Suite 103
Newark, DE 19711-7128
Phone
(302) 366-0550
Fax
(302) 366-8905
NPI assigned
Jul 30, 2006
Last updated
Dec 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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 C10005529 PA Primary

Addresses

Primary practice location

314 E Main St
Suite 103
Newark, DE 19711-7128

Mailing address

314 E Main St
Suite 103
Newark, DE 19711-7128
Phone (302) 366-0550

Other identifiers 1

IdentifierTypeStateIssuer
0000972911MedicaidDE

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
I20040311000509 DE Practitioner - Internal Medicine 9032007919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premiere Physicians P.a.Group PAC ID 7416845383, 2 clinicians

Practice addresses (Care Compare)

314 E Main St
Suite 103
Newark, DE 19711-7180
Phone (302) 366-0550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10005529PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Delaware, LLC Internal Medicine CurrentSince Dec 17, 2016 Accepting new patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Feb 25, 2018 Accepting new patients
Premiere Physicians P.a. Internal Medicine CurrentSince Jan 1, 2004 Accepting new patients
Christiana Care Health Services Inc CurrentSince Feb 25, 2018 Accepting new patients
Christiana Medical Group, PA Past Accepting new patients

Locations

500 S Broad St
Middletown, DE 19709
Phone (302) 449-3400

314 E Main St
Ste 103
Newark, DE 19711
Phone (302) 366-0550

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

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

410 Foulk Rd
Ste 200B
Wilmington, DE 19803
Phone (302) 561-4202

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

700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1902811730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST",
            "address_2": "SUITE 103",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117128",
            "telephone_number": "302-366-0550",
            "fax_number": "302-366-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST",
            "address_2": "SUITE 103",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117128",
            "telephone_number": "302-366-0550",
            "fax_number": "302-366-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARD",
        "first_name": "REYNOLD",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "C10005529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000972911",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.