IRFAN M HISAMUDDIN MD
NPI 1871798421
Specialist in Newark, DE

Active since June 15, 2007PECOS EnrolledAccepts Medicare Assignment
4745 OGLETOWN STANTON RD, SUITE 134, NEWARK, DE 19713(302) 738-5300(302) 731-4822 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Irfan M Hisamuddin Md NPPES

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

IRFAN M HISAMUDDIN MD (NPI 1871798421) is an individual specialist in Newark, Delaware, licensed in Maryland (PENDING) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1871798421
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameIRFAN M HISAMUDDINCredential: MD
Location Address4745 OGLETOWN STANTON RD, SUITE 134Newark, DE 19713-2067
Mailing AddressPo Box 7356Lancaster, PA 17604-7356 · (410) 441-4847
Fax(302) 731-4822
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 15, 2007
Last NPPES UpdateJuly 22, 2015
NPI 1871798421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MD · PENDING
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License C1-0011248 (DE)
4745 OGLETOWN STANTON RD, Newark, DE 19713

Other Identifiers 2

Medicare PINK729-R074MD
Medicare PIN410769ZAVTDE

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

Irfan M Hisamuddin 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 ID5395839120
PECOS Enrollment IDI20150522000216
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 18

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.

Injection, vedolizumab, intravenous, 1 mg J3380
Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.
12,900 services27 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
1,270 services13 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.
198 services154 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
152 services152 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.
141 services99 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
112 services110 patients

Referred Medical Equipment & Supplies CMS DME claims 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier29 claims870 services$11.08 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier29 claims174 services$281.28 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier25 claims150 services$8.05 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier29 claims174 services$25.15 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.

Physician Assistant
4745 OGLETOWN STANTON RD
NEWARK, DE 19713
Physician Assistant (Surgical)
4745 OGLETOWN STANTON RD, SUITE 225
NEWARK, DE 19713
Obstetrics & Gynecology
4745 OGLETOWN STANTON RD, SUITE 106
NEWARK, DE 19713
Physician Assistant (Surgical)
4745 OGLETOWN STANTON RD, SUITE 225
NEWARK, DE 19713
Nurse Practitioner (Neonatal)
4745 OGLETOWN STANTON RD, SUITE 217
NEWARK, DE 19713
Specialist
4745 OGLETOWN STANTON RD
NEWARK, DE 19713
Obstetrics & Gynecology
4745 OGLETOWN STANTON RD, MAP1, SUITE 207
NEWARK, DE 19713
Pediatrics (Neonatal-Perinatal Medicine)
4745 OGLETOWN STANTON RD, SUITE 217 MEDICAL ARTS PAVILION ONE
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 Irfan Hisamuddin's NPI number?

The NPI number for Irfan Hisamuddin is 1871798421. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Irfan Hisamuddin located?

Irfan Hisamuddin practices at 4745 Ogletown Stanton Rd Suite 134, Newark, DE 19713. The listed phone number is (302) 738-5300.

What is Irfan Hisamuddin's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Irfan Hisamuddin enrolled in Medicare?

Yes. Irfan Hisamuddin 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 Irfan Hisamuddin accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Irfan Hisamuddin 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 Irfan Hisamuddin was last updated on July 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.