Active NPI
Ananth P Nabha, MD
- General Practice Physician
- Wilmington, DE
National Provider Identifier
1962435404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- C10001599
- Practice address
- 2006 Limestone Rd
Suite 1
Wilmington, DE 19808-5553 - Phone
- (302) 999-0105
- Fax
- (302) 998-1905
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | C10001599 | DE | Primary |
Addresses
Primary practice location
2006 Limestone Rd
Suite 1
Wilmington, DE 19808-5553
Mailing address
2006 Limestone Rd
Suite 1
Wilmington, DE 19808-5553
Phone (302) 999-0105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000029701 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10001599 | DE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba CCHS Chief's Surgical Services
- Surgery Physician
- Wilmington, DE
- NPI 1952385122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1962435404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 LIMESTONE RD",
"address_2": "SUITE 1",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085553",
"telephone_number": "302-999-0105",
"fax_number": "302-998-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 LIMESTONE RD",
"address_2": "SUITE 1",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085553",
"telephone_number": "302-999-0105",
"fax_number": "302-998-1905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NABHA",
"first_name": "ANANTH",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "DE",
"license": "C10001599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000029701",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.