Active NPI
First State Infectious Diseases, LLC
- Infectious Disease Physician
- Dover, DE
National Provider Identifier
1972010924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- C10005882
- Legal business name
- FIRST STATE INFECTIOUS DISEASES, LLC
- Practice address
- 200 Banning St
Suite 230
Dover, DE 19904-3487 - Phone
- (302) 678-0200
- Fax
- (302) 678-2300
- NPI assigned
- Dec 29, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Remesh Vemulapalli, MD
- Title
- MD
- Phone
- (302) 535-4608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | C10005882 | DE | Primary |
Addresses
Primary practice location
200 Banning St
Suite 230
Dover, DE 19904-3487
Mailing address
200 Banning St
Suite 230
Dover, DE 19904-3487
Phone (302) 678-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2504442244 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- First State Infectious Diseases LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Infectious Disease Physician
- Dover, DE
- NPI 1942815691
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Dover, DE
- NPI 1093293631
-
- Infectious Disease Physician
- Dover, DE
- NPI 1659351310
-
- Family Nurse Practitioner
- Dover, DE
- NPI 1487932232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599782400000",
"number": "1972010924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BANNING ST",
"address_2": "SUITE 230",
"city": "DOVER",
"state": "DE",
"postal_code": "199043487",
"telephone_number": "302-678-0200",
"fax_number": "302-678-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BANNING ST",
"address_2": "SUITE 230",
"city": "DOVER",
"state": "DE",
"postal_code": "199043487",
"telephone_number": "302-678-0200",
"fax_number": "302-678-2300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST STATE INFECTIOUS DISEASES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-29",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A",
"authorized_official_last_name": "VEMULAPALLI",
"authorized_official_first_name": "REMESH",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "302-535-4608",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "DE",
"license": "C10005882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2504442244",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
- First State Anesthesia, LLC
- First State DME LLC
- First State Gastroenterology Association
- First State Imaging
- First State Infectious Diseases, LLC
- First State Oral and Maxillofacial Surgery Corp
- First State Orthopaedics PA
- First State Orthopaedics PA (Rise Physical Therapy)
- First State Orthopaedics, PA
- First State Orthopaedics, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.