NPIMap

Individual provider Active NPI

Laura Jean Manfield, DO

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1982720538
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C2-0009037 Issued in DE
Practice address
4512 Kirkwood Hwy Ste 202
Wilmington, DE 19808-5122
Phone
(302) 999-0137
Fax
(302) 999-1042
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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 C2-0009037 DE Primary

Addresses

Primary practice location

4512 Kirkwood Hwy Ste 202
Wilmington, DE 19808-5122

Mailing address

4512 Kirkwood Hwy
#301
Wilmington, DE 19808-5123
Phone (302) 999-0137

Other identifiers 1

IdentifierTypeStateIssuer
200047994MedicaidDE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address regionalmedicalgroupllc@myezyaccess.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000242 DE Practitioner - Family Practice 9830243401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Medical Group LLCGroup PAC ID 6800041237, 4 clinicians

Practice addresses (Care Compare)

4512 Kirkwood Hwy
Suite 202
Wilmington, DE 19808-5122
Phone (302) 993-7890

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.91 of 100Reported as individual
Quality
87.15
Improvement activities
40
Cost
70.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Medical Group LLC Family Medicine CurrentSince Mar 1, 2013 Accepting new patients

Locations

4512 Kirkwood Hwy
Ste 202
Wilmington, DE 19808
Phone (302) 892-6200

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.

Hospital & facility affiliations 11

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1982720538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 KIRKWOOD HWY",
            "address_2": "#301",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085123",
            "telephone_number": "302-999-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 KIRKWOOD HWY STE 202",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085122",
            "telephone_number": "302-999-0137",
            "fax_number": "302-999-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANFIELD",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0009037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200047994",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "regionalmedicalgroupllc@myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4512 Kirkwood Hwy Ste 202",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198085122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.