DR. KENNETH ERIC DE GROOT D.C., DABCO
NPI 1730254921
Chiropractor in Wilmington, DE
NPI Status: Active since November 22, 2006
Contact Information
1401 SILVERSIDE RD
SUITE 1
WILMINGTON, DE
ZIP 19810
Phone: (302) 475-5600
Fax: (302) 475-5940
- Individual
- Male
- Years of Experience 44
- Chiropractor
- Accepts Insurance
- Accepts Medicare Approved Payment
About KENNETH DE GROOT
This page provides the complete NPI Profile along with additional information for Kenneth De Groot, a provider established in Wilmington, Delaware with a medical specialization in Chiropractor and more than 44 years of experience. He graduated from Palmer College Chiropractic - Davenport in 1982. The healthcare provider is registered in the NPI registry with number 1730254921 assigned on November 2006. The practitioner's primary taxonomy code is 111N00000X with license number F10000191 (DE). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1730254921
- Provider Name
- DR. KENNETH ERIC DE GROOT D.C., DABCO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1401 SILVERSIDE RD SUITE 1 WILMINGTON, DE 19810
- Location Phone
- (302) 475-5600
- Location Fax
- (302) 475-5940
- Mailing Address
- 1401 SILVERSIDE RD SUITE 1 WILMINGTON, DE 19810
- Mailing Phone
- (302) 475-5600
- Mailing Fax
- (302) 475-5940
- Medical School Name
- PALMER COLLEGE CHIROPRACTIC - DAVENPORT
- Graduation Year
- 1982
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-22-2006
- Last Update Date
- 09-04-2012
- Code Navigator
A chiropractor like Kenneth De Groot helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
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
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- License No.
- F10000191
- License State
- DE
- Taxonomy Description
- A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- 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
- my Blue Access Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access PPO Bronze 3800 - PPO
- my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access PPO Bronze 8900 - PPO
- my Blue Access PPO Gold 0 - PPO
- my Blue Access PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Gold 1700 HSA - PPO
- my Blue Access PPO Premier Gold 0 - PPO
- my Blue Access PPO Premier Gold 0 + Adult Dental and Vision - PPO
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.
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 |
|---|---|---|---|
| T26975 | MEDICARE UPIN (02) | DE | |
| 2279331000 | OTHER (01) | DE | AMERIHEALTH |
| 0001073718 | MEDICAID (05) | DE | |
| D199509 | MEDICARE ID-TYPE UNSPECIFIED (04) | DE | MEDICARE ID |
Medicare Participation & PECOS Enrollment Status
Kenneth De Groot is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
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.
PECOS PAC ID: 8527126655
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20081018000200
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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.
Chiropractic manipulative treatment, 3-4 spinal regions
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
This service was performed 692 times for 41 patientsReviews for DR. KENNETH ERIC DE GROOT D.C., DABCO
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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 | 7 | 3 | 0 | 2 | 5 | 4 | 9 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 4 | 5 | 8 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 4 + 5 + 8 + 9 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1730254921 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013076967 | CONNIE F. CICORELLI, D.D.S., P.A. Organization | Dentist (General Practice) | 1401 SILVERSIDE RD WILMINGTON, DE 19810 (302) 798-5797 |
| 1215156070 | KENNETH E DEGROOT DC INC Organization | Chiropractor | 1401 SILVERSIDE RD SUITE 1 WILMINGTON, DE 19810 (302) 475-5600 |
| 1598842676 | PHYLLIS E CHAMBERS D.O. Individual | Optometrist | 1401 SILVERSIDE RD SUITE C WILMINGTON, DE 19810 (302) 475-3346 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730254921, enumerated in the NPI registry as an "individual" on November 22, 2006
The provider is located at 1401 Silverside Rd Suite 1 Wilmington, De 19810 and the phone number is (302) 475-5600
The provider's speciality is Chiropractor with taxonomy code 111N00000X
The provider has more than 44 years of experience. He graduated from Palmer College Chiropractic - Davenport in 1982.
The provider might be accepting Accepts: Aetna CVS Health, AmeriHealth Caritas Next,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Chiropractic manipulative treatment, 3-4 spinal regions.
This NPI record was last updated on November 22, 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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