Organization Active NPI

First State Infectious Diseases, LLC

  • Infectious Disease Physician
  • Dover, DE
National Provider Identifier
1972010924
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
C10005882 Issued in DE
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

Updated by the provider on Sep 11, 2020

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2504442244MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180124001646 DE Part B Supplier - Clinic/Group Practice 9234498098 Receives reassigned benefits from 4 practitioners
Practice locations: Dover, DE

National Provider Directory

National Provider Directory
Tax ID family
First State Infectious Diseases LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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

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.

Verify at the official NPI Registry.