DR. ANTONY LESLIE INNASIMUTHU MD
NPI 1104080639
Internal Medicine - Cardiovascular Disease in Newark, DE

Active since July 14, 2008PECOS Enrolled
620 STANTON CHRISTIANA RD, SUITE 203, NEWARK, DE 19713(302) 338-9444(302) 338-9449 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Antony Leslie Innasimuthu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTONY LESLIE INNASIMUTHU MD (NPI 1104080639) is an individual cardiovascular disease provider in Newark, Delaware, licensed in Delaware (C1-0010967) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1104080639
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ANTONY LESLIE INNASIMUTHUCredential: MD
Location Address620 STANTON CHRISTIANA RD, SUITE 203Newark, DE 19713-2133
Mailing Address620 Stanton Christiana Rd, Suite 203Newark, DE 19713-2133 · (302) 338-9444 · Fax (302) 338-9449
Fax(302) 338-9449
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 14, 2008
Last NPPES UpdateFebruary 26, 2020
NPI 1104080639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in DE · C1-0010967
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License C1-0010967 (DE)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License C1-0010967 (DE)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License C1-0010967 (DE)
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License C1-0010967 (DE)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License C1-0010967 (DE)
620 STANTON CHRISTIANA RD, Newark, DE 19713

Other Identifiers 1

Medicaid1104080639DE

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Antony Leslie Innasimuthu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234354275
PECOS Enrollment IDI20140707000599
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 46

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
1,428 services231 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
1,241 services205 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,101 services634 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
778 services569 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
464 services401 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
388 services151 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
Percentage of patients aged 18 years and older with a diagnosis of major depressive disorder (MDD) with a suicide risk assessment completed during the visit in which a new diagnosis or recurrent episode was identified
94%169 patients4/55-star benchmark: 99%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
100%44 patients5/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
76%1,357 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%130 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
39%122 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
12%574 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%1,345 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
45%1,346 patients3/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
50%608 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
19%608 patients2/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 538 patients
3%538 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
620 STANTON CHRISTIANA RD, STE.302
NEWARK, DE 19713
Podiatrist (Foot & Ankle Surgery)
620 STANTON CHRISTIANA RD, SUITE 303 METROFORM MEDICAL COMPLEX
NEWARK, DE 19713
Physician Assistant (Medical)
620 STANTON CHRISTIANA RD, SUITE 203
NEWARK, DE 19713
Physician Assistant (Medical)
620 STANTON CHRISTIANA RD, SUITE 202
NEWARK, DE 19713
Nurse Practitioner (Family)
620 STANTON CHRISTIANA RD, STE 101
NEWARK, DE 19713
Internal Medicine
620 STANTON CHRISTIANA RD, SUITE 206
NEWARK, DE 19713
Specialist
620 STANTON CHRISTIANA RD, STE.302
NEWARK, DE 19713
Internal Medicine
620 STANTON CHRISTIANA RD, SUITE 305
NEWARK, DE 19713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antony Innasimuthu's NPI number?

The NPI number for Antony Innasimuthu is 1104080639. It was assigned to this individual provider in the NPPES registry on July 14, 2008.

Where is Antony Innasimuthu located?

Antony Innasimuthu practices at 620 Stanton Christiana Rd Suite 203, Newark, DE 19713. The listed phone number is (302) 338-9444.

What is Antony Innasimuthu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Antony Innasimuthu enrolled in Medicare?

Yes. Antony Innasimuthu is registered in the Medicare PECOS enrollment system.

What insurance does Antony Innasimuthu accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Antony Innasimuthu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Antony Innasimuthu affiliated with any hospitals?

According to CMS data, Antony Innasimuthu is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Antony Innasimuthu was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.