ANDRES ALBERTO TIRADO NAVALES MD
NPI 1730705260
Family Medicine in Newark, DE

Q: What is Andres Tirado Navales's NPI number?

The NPI number for Andres Tirado Navales is 1730705260. It was assigned to this individual provider in the NPPES registry on June 20, 2020.

Q: What is Andres Tirado Navales's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 20, 2020PECOS EnrolledAccepts Medicare Assignment

4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718(302) 623-0188(302) 733-5640 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2024, Apr 24, 2024, Nov 10, 2023 and 1 more (4 updates tracked since 2020).

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About Andres Alberto Tirado Navales Md NPPES

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

ANDRES ALBERTO TIRADO NAVALES MD (NPI 1730705260) is an individual family medicine provider in Newark, Delaware, licensed in Delaware (C1-0025960) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1730705260

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameANDRES ALBERTO TIRADO NAVALESCredential: MD

Location Address4755 OGLETOWN STANTON RD STE 5A43Newark, DE 19718-6706

Mailing Address1850 E Park Ave Ste 207State College, PA 16803-6706 · (814) 235-2480

Phone(302) 623-0188

Fax(302) 733-5640

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 20, 2020

Last NPPES UpdateDecember 6, 20244 updates tracked since enumeration

NPPES CertifiedDecember 6, 2024

✔ NPI 1730705260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in DE · C1-0025960✔ Licensed in PA · MD483450

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4755 OGLETOWN STANTON RD STE 5A43, Newark, DE 19718

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Secondary Practice Locations 3

Location 11850 E Park Ave Ste 207State College, PA 16803-6706 · Phone (814) 235-2480

Location 2925 Providence Rd Ste 8And9Secane, PA 19018-2920 · Phone (610) 394-1234

Location 3620 Stanton Christiana Rd Ste 302Newark, DE 19713-2135 · Phone (302) 660-7333

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Andres Alberto Tirado Navales 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 ID6709249469

PECOS Enrollment IDI20230828003389

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 5

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.

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.

145 services143 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.

71 services58 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 services67 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services16 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

17 services17 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

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

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.

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.

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