Individual provider Active NPI

Robert S Callahan, MD

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1962491779
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0008123 Issued in DE
Practice address
32 Omega Dr
Building J
Newark, DE 19713-2058
Phone
(302) 731-0942
Fax
(302) 444-8491
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C1-0008123 DE Primary

Addresses

Primary practice location

32 Omega Dr
Building J
Newark, DE 19713-2058

Mailing address

10 Heather Loft CT
Bear, DE 19701-1400
Phone (302) 547-4992

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
I20070126000609 DE Practitioner - Family Practice 7416958863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Hahnemann University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stoney Batter Family Medicine Associates PAGroup PAC ID 9638069586, 12 clinicians

Practice addresses (Care Compare)

5311 Limestone Rd
Suite 201
Wilmington, DE 19808-1258
Phone (302) 234-9109

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
  • Christianacare Homehealth Home health agency, Wilmington, DE, CCN 087002
  • Christiana Hospital Hospital, Newark, DE, CCN 080001

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

State licenses

LicenseStateTypeSpecialty
C1-0008123DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stoney Batter Family Medicine Associates, P.a. Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Robert S. Callahan, M.D., P.a. Family Medicine CurrentSince Nov 27, 2006 Accepting new patients

Locations

32 Omega Dr
#J
Newark, DE 19713
Phone (302) 731-0942

5311 Limestone Rd
Ste 201
Wilmington, DE 19808
Phone (302) 234-9109

Interoperability endpoints

  • Direct secure messaging: robertcallahan@sbfm.allscriptsdirect.net

Organizations & group practices 2

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.

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1962491779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HEATHER LOFT CT",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011400",
            "telephone_number": "302-547-4992",
            "fax_number": "302-444-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 OMEGA DR",
            "address_2": "BUILDING J",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132058",
            "telephone_number": "302-731-0942",
            "fax_number": "302-444-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0008123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.