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JAMES LOUGHRAN M.D.
NPI 1932186525
Internal Medicine in Wilmington, DE

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
3411 SILVERSIDE RD, WEBSTER BUILDING, SUITE 103, WILMINGTON, DE 19810(302) 479-8464(302) 479-8463 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Loughran M.d. NPPES

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

JAMES LOUGHRAN M.D. (NPI 1932186525) is an individual internal medicine provider in Wilmington, Delaware, licensed in Delaware (C10003043) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1985).

NPPES Registry Identity

NPI1932186525
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES LOUGHRANCredential: M.D.
Location Address3411 SILVERSIDE RD, WEBSTER BUILDING, SUITE 103Wilmington, DE 19810-4812
Mailing Address71 Omega Dr, Building DNewark, DE 19713-2063 · (302) 283-3300 · Fax (302) 283-3321
Phone(302) 479-8464
Fax(302) 479-8463
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1985
Enumeration DateDecember 27, 2005
Last NPPES UpdateOctober 25, 2007
✔ NPI 1932186525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DE · C10003043
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.
3411 SILVERSIDE RD, Wilmington, DE 19810
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Other Identifiers 4

Other110035431DE · Railroad Medicare
Medicare PIN190475L01DE
Medicare UPINE13478DE
Medicaid0000092701DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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

James Loughran M.d. 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 ID5496831299
PECOS Enrollment IDI20080319000321
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 6

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.

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.
560 services422 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.
206 services78 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
173 services173 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.
87 services66 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
81 services81 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19810 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.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
1 supplier12 claims12 services$34.80 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier17 claims17 services$9.89 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier17 claims97 services$1.64 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.

MS. KATHLEEN FORREST PTA
Specialist
3411 SILVERSIDE RD, SPRINGER BLDG SUITE 105
WILMINGTON, DE 19810
New Castle County (302) 478-5240
MICHAEL R LODES D.C.
Chiropractor
3411 SILVERSIDE RD, HANBY BLDG, SUITE 102
WILMINGTON, DE 19810
New Castle County (302) 477-1565
MRS. HOLLY A. CATALANO PT
Physical Therapist
3411 SILVERSIDE RD, SPRINGER BUILDING, SUITE 105
WILMINGTON, DE 19810
New Castle County (302) 478-5240
MARC DAVID GROBMAN D.O.
Family Medicine
3411 SILVERSIDE RD, WELDIN BUILDING SUITE 102
WILMINGTON, DE 19810
New Castle County (302) 479-0580
DR. BRETT C WHARTON D.C.
Chiropractor
3411 SILVERSIDE RD, HANBY BUILDING SUITE 102
WILMINGTON, DE 19810
New Castle County (302) 477-1565
ATLANTIC SKIN & COSMETIC SURGERY GROUP, P.C.
Dermatology
3411 SILVERSIDE RD, SUITE 107; WEBSTER BUILDING
WILMINGTON, DE 19810
New Castle County (302) 478-8532
JEAN B FAY OT
Occupational Therapist
3411 SILVERSIDE RD, SPRINGER BLDG., SUITE 105
WILMINGTON, DE 19810
New Castle County (302) 478-2131
MRS. AMY MURPHREE POOLE LCSW
Social Worker (Clinical)
3411 SILVERSIDE RD, STE 102
WILMINGTON, DE 19810
New Castle County (302) 778-1288

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 James Loughran's NPI number?

The NPI number for James Loughran is 1932186525. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is James Loughran located?

James Loughran practices at 3411 Silverside Rd Webster Building, Suite 103, Wilmington, DE 19810. The listed phone number is (302) 479-8464.

What is James Loughran's specialty?

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

Is James Loughran enrolled in Medicare?

Yes. James Loughran 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 James Loughran accept?

Health plans from AmeriHealth Caritas Next list James Loughran 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 James Loughran was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.