DR. SHABANA ANSARI DO
NPI 1730509696
Internal Medicine in Newark, DE

Active since April 18, 2014PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718(302) 623-0188 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2019, Mar 17, 2018, Jul 13, 2017 (3 updates tracked since 2017).

About Dr. Shabana Ansari Do NPPES

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

DR. SHABANA ANSARI DO (NPI 1730509696) is an individual internal medicine provider in Newark, Delaware, licensed in California (20A14963) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Riddle Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730509696
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHABANA ANSARICredential: DO
Location Address4755 OGLETOWN STANTON RD STE 5A43Newark, DE 19718
Mailing Address200 Hygeia Dr Ste 2300Newark, DE 19713-2049
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2014
Enumeration DateApril 18, 2014
Last NPPES UpdateJanuary 4, 20193 updates tracked since enumeration
NPI 1730509696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · 20A14963 Licensed in DE · C2-0012880
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.
Also ListedHospitalistTaxonomy 208M00000X · License C2-0012880 (DE)
4755 OGLETOWN STANTON RD STE 5A43, Newark, DE 19718

Secondary Practice Locations 2

Location 16th Avenue & Spruce StreetWest Reading, PA 19611 · Phone (484) 628-8640 · Fax (484) 628-9003
Location 210010 Campus Point DrSan Diego, CA 92121-1518 · Phone (619) 691-7000

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 and accepts Medicare assignment

Dr. Shabana Ansari Do 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 ID4385936525
PECOS Enrollment IDI20231220003778
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 4

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 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.
370 services171 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.
164 services161 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
49 services49 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.
46 services32 patients

Hospital Affiliations CMS Care Compare

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

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$43.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$60.06 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$30.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Infectious Disease)
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Nurse Practitioner
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718

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 Shabana Ansari's NPI number?

The NPI number for Shabana Ansari is 1730509696. It was assigned to this individual provider in the NPPES registry on April 18, 2014.

Where is Shabana Ansari located?

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

What is Shabana Ansari's specialty?

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

Is Shabana Ansari enrolled in Medicare?

Yes. Shabana Ansari 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 Shabana Ansari accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Shabana Ansari 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 Shabana Ansari affiliated with any hospitals?

According to CMS data, Shabana Ansari is affiliated with Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shabana Ansari was last updated on January 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.