DR. CAROLYN OHARA IANNI MD
NPI 1427156769
Internal Medicine in Wilmington, DE
NPI Status: Active since September 20, 2006
Contact Information
5311 LIMESTONE RD
SUITE 100
WILMINGTON, DE
ZIP 19808
Phone: (302) 234-2200
Fax: (302) 234-2262
- Individual
- Female
- Internal Medicine
- Accepts Insurance
- PECOS Enrolled
About CAROLYN IANNI
This page provides the complete NPI Profile along with additional information for Carolyn Ianni, an internist established in Wilmington, Delaware with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1427156769 assigned on September 2006. The practitioner's primary taxonomy code is 207R00000X with license number C1006524 (DE). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1427156769
- Provider Name
- DR. CAROLYN OHARA IANNI MD
- Other Name
- CAROLYN ANN OHARA
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5311 LIMESTONE RD SUITE 100 WILMINGTON, DE 19808
- Location Phone
- (302) 234-2200
- Location Fax
- (302) 234-2262
- Mailing Address
- 2101 FOULK RD WILMINTON, DE 19810
- Mailing Phone
- (302) 475-2535
- Mailing Fax
- (302) 234-2262
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-20-2006
- Last Update Date
- 02-28-2011
- Code Navigator
An internist like Carolyn Ianni is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C1006524
- License State
- DE
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H80226 | MEDICARE UPIN (02) | ||
| 00B427060 | MEDICARE ID-TYPE UNSPECIFIED (04) | DE | |
| 0000610101 | MEDICAID (05) | DE |
Medicare Participation & PECOS Enrollment Status
Carolyn Ianni is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
New patient office or other outpatient visit, 60-74 minutes
Telephone medical discussion with physician, 21-30 minutes
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.
This service was performed 126 times for 118 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 94 times for 91 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 54 times for 54 patientsThis service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
This service was performed 25 times for 23 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19808 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $131.15
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $32.78
- Minimum New Patient Copayment $14.28
- Maximum New Patient Copayment $43.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.68
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $25.17
- Minimum Established Patient Copayment $4.59
- Maximum Established Patient Copayment $35.26
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 1 | 5 | 6 | 7 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 2 | 5 | 12 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 2 + 5 + 1 + 2 + 7 + 1 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1427156769 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912981754 | DR. GILBERT REID CONLEY DPM Individual | Podiatrist | 5311 LIMESTONE RD SUITE 203 WILMINGTON, DE 19808 (302) 234-3907 |
| 1649242801 | DR. SCOTT J SCHAEFFER MD Individual | General Practice | 5311 LIMESTONE RD STE 201 WILMINGTON, DE 19808 (302) 234-9109 |
| 1144292103 | MRS. SUZANNE S SHARP TOWNSEND NP Individual | Nurse Practitioner | 5311 LIMESTONE RD STE 201 WILMINGTON, DE 19808 (302) 234-9109 |
| 1942277553 | MRS. ANNE ARCHBALD NP Individual | Nurse Practitioner | 5311 LIMESTONE RD STE 201 WILMINGTON, DE 19808 (302) 234-9109 |
| 1295766723 | KIRK SWIGART Individual | Physical Therapist | 5311 LIMESTONE RD STONEY BATTER MEDICAL PAVILION WILMINGTON, DE 19808 (302) 235-4650 |
| 1780618876 | STEPHEN ROMBACH Individual | Physical Therapist | 5311 LIMESTONE RD STONEY BATTER MEDICAL PAVILION WILMINGTON, DE 19808 (302) 235-4650 |
| 1538275409 | DR. LOUIS JOHN CENTRELLA MD Individual | Family Medicine | 5311 LIMESTONE RD WILMINGTON, DE 19808 (302) 234-2200 |
| 1477606879 | G. REID CONLEY, D.P.M., P.A. Organization | Podiatrist | 5311 LIMESTONE RD SUITE 203 WILMINGTON, DE 19808 (302) 234-3907 |
| 1083847644 | MICHAEL R HAAG, DPM, ATC, LLC Organization | Clinic/Center (Podiatric) | 5311 LIMESTONE RD SUITE 203 WILMINGTON, DE 19808 (302) 234-3907 |
| 1033441209 | DELAWARE SLEEP DISORDER CENTERS, LLC Organization | Sleep Specialist, PhD | 5311 LIMESTONE RD SUITE 205 WILMINGTON, DE 19808 (887) 335-7533 |
| 1629335336 | CAROLYN MARY BARRETT FNP-C Individual | Nurse Practitioner (Family) | 5311 LIMESTONE RD SUITE 201 WILMINGTON, DE 19808 (302) 234-9109 |
| 1235101676 | DR. HORATIO C JONES III MD Individual | Family Medicine | 5311 LIMESTONE RD STE 201 WILMINGTON, DE 19808 (302) 224-9109 |
| 1831398015 | DR. MICHAEL RALPH HAAG DPM Individual | Podiatrist | 5311 LIMESTONE RD SUITE 203 WILMINGTON, DE 19808 (302) 234-3907 |
| 1750344784 | DR. EVA MARIE PIERORAZIO GERACIMOS MD Individual | Family Medicine | 5311 LIMESTONE RD SUITE 201 WILMINGTON, DE 19808 (302) 234-9109 |
| 1073006045 | HOLLY D DAVIS APRN Individual | Nurse Practitioner (Gerontology) | 5311 LIMESTONE RD WILMINGTON, DE 19808 (302) 295-0473 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427156769, enumerated in the NPI registry as an "individual" on September 20, 2006
The provider is located at 5311 Limestone Rd Suite 100 Wilmington, De 19808 and the phone number is (302) 234-2200
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: AmeriHealth Caritas Next, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $131.15 with an average copayment of $32.78 for new patient appointments. Established patients should expect a typical charge of $100.68 and an average copayment of 25.17. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, New patient office or other outpatient visit, 60-74 minutes and Telephone medical discussion with physician, 21-30 minutes.
This NPI record was last updated on September 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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