CARLOS DURAN MD
NPI 1588689178
Pediatrics - Neonatal-Perinatal Medicine in Newark, DE
About Carlos Duran Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLOS DURAN MD (NPI 1588689178) is an individual neonatal-perinatal medicine provider in Newark, Delaware, licensed in Delaware (C10003099) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carlos Duran Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carlos Duran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dover, DE 19904
- Reassigned Medicare billing, Delaware enrollment
- Also billed through NPI 1356808208 (Delaware)
- 163 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, DE 19713
NEWARK, DE 19713
NEWARK, DE 19713
NEWARK, DE 19713
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 Carlos Duran's NPI number?
The NPI number for Carlos Duran is 1588689178. It was assigned to this individual provider in the NPPES registry on July 13, 2006.
Where is Carlos Duran located?
Carlos Duran practices at 4745 Ogletown Stanton Rd Medical Arts Pavilion One Ste 217, Newark, DE 19713. The listed phone number is (302) 733-2374.
What is Carlos Duran's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.
Is Carlos Duran enrolled in Medicare?
Yes. Carlos Duran is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carlos Duran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Duran reassigns Medicare benefits to Bayhealth Medical Center, Inc (Dover, DE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Duran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlos Duran accept?
Health plans from AmeriHealth Caritas Next list Carlos Duran 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.
When was this NPI record last updated?
The NPPES record for Carlos Duran was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Carlos Duran, MD · NPI 1588689178
Neonatal-Perinatal Medicine physician in Newark, Delaware. Individual provider, active in the CMS NPPES registry since July 13, 2006.
## Identity
- **NPI:** 1588689178 (Entity type: Individual)
- **Enumerated:** July 13, 2006
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** C10003099 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 4745 OGLETOWN STANTON RD, MEDICAL ARTS PAVILION ONE STE 217, Newark, DE 19713
- **Phone:** (302) 733-2374 · **Fax:** (302) 733-2602
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Bayhealth Medical Center, Inc (NPI 1588456479, Dover, DE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 0000182701 (DE)
---
Source: [NPI Profile](https://npiprofile.com/npi/1588689178) · Data from the CMS NPPES public registry.