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RAMESH PANDIT MD
NPI 1659752517
Internal Medicine in Newark, DE

Active since June 16, 2015PECOS EnrolledAccepts Medicare Assignment
86.75/100
CMS Quality Rating
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718(302) 623-0188(302) 733-5640 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2024, Jun 19, 2019, Sep 11, 2018 (3 updates tracked since 2018).

About Ramesh Pandit Md NPPES

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

RAMESH PANDIT MD (NPI 1659752517) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C1-0026293) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1659752517
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAMESH PANDITCredential: MD
Location Address4755 OGLETOWN STANTON RD STE 5A43Newark, DE 19718-2121
Mailing Address601 Park StHonesdale, PA 18431-1445 · (570) 253-8226 · Fax (570) 253-8228
Phone(302) 623-0188
Fax(302) 733-5640
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 16, 2015
Last NPPES UpdateJuly 12, 20243 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1659752517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in DE · C1-0026293✔ Licensed in MD · D0101012✔ Licensed in PA · MD465404
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4755 OGLETOWN STANTON RD STE 5A43, Newark, DE 19718
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ramesh Pandit Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012218563
PECOS Enrollment IDI20240725000030
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
155 services76 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
110 services73 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
67 services65 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
50 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
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.

86.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.91
Promoting Interoperability100
Improvement Activities40

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.

SHRUTI PURI MD
Internal Medicine (Infectious Disease)
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
New Castle County (302) 623-0188
DR. LUCINDA LI DO
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
New Castle County (302) 623-0188
KATIE RUBIN FNP
Nurse Practitioner
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
New Castle County (302) 623-0188
CHRISTOS JAMES ARHONTAKIS PA-C
Physician Assistant
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
New Castle County (302) 623-0188
DANIAL ANWAR KHAN DO
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
New Castle County (302) 623-0188
ADETOLA ISOLA MD
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
New Castle County (302) 623-0188
MUHAMMAD AHMED MEMON DO
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
New Castle County (302) 623-0188
FARHA ALI DO
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
New Castle County (302) 623-0188

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 Ramesh Pandit's NPI number?

The NPI number for Ramesh Pandit is 1659752517. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Where is Ramesh Pandit located?

Ramesh Pandit practices at 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718. The listed phone number is (302) 623-0188.

What is Ramesh Pandit's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ramesh Pandit enrolled in Medicare?

Yes. Ramesh Pandit is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ramesh Pandit accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Ramesh Pandit 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 Ramesh Pandit was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.