BONNIE CATHERINE CALLAHAN (M.D.) – Internal Medicine Physician, NPI 1073728218

BONNIE CATHERINE CALLAHAN (M.D.) is a healthcare provider. based in Newark, Delaware. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. C1-0012787 (DE). The NPI Number for BONNIE CATHERINE CALLAHAN (M.D.) is 1073728218

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE CATHERINE CALLAHAN (M.D.)
NPI
1073728218
Phone
(302) 623-0188
Address
4755 OGLETOWN STANTON ROAD
Enumeration Date
11 May 2007
Last Update Date
11 September 2024

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
3026230188
Graduation Year
2003 (23 years ago)
PAC ID
8325149685
Group Practice PAC ID
9739097569
Professional Enrollment ID
I20240924000721
Address ID
DE197182200NE4755XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

777 INTERNAL MEDICINE in DE

Provider Addresses for BONNIE CATHERINE CALLAHAN (M.D.)

  • 4755 OGLETOWN STANTON ROAD

    SUITE 5A43

    NEWARK, DE 197182200

    Phone: (302) 623-0188

    Fax: (302) 733-5640

    Type: Location

  • 1011, West Baltimore Pike, Penn Township, Chester County, Pennsylvania, 19352, United States

    SUITE 301

    WEST GROVE, PA 193909446

    Phone: (610) 869-3620

    Type: Location

  • 1232R, South Street, Bella Vista, South Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19146, United States

    PHILADELPHIA, PA 19147

    Phone: (215) 514-0521

    Type: Mailing

  • 1601 KIRKWOOD HWY

    WILMINGTON, DE 198054917

    Phone: (302) 994-2511

    Type: Mailing

  • 1601 Kirkwood Hwy

    Wilmington, DE 198054917

    Phone: (302) 994-2511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240924000721IInternal MedicineDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19718)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739097569View full group profile

Reviews

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Frequently asked questions

How is BONNIE CATHERINE CALLAHAN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists BONNIE CATHERINE CALLAHAN (M.D.) with NPI 1073728218.
Is BONNIE CATHERINE CALLAHAN (M.D.) listed as active for patients and plans?
The listing shows BONNIE CATHERINE CALLAHAN (M.D.) as active in the NPI system.
What is BONNIE CATHERINE CALLAHAN (M.D.)'s primary classification?
Internal Medicine Physician is the headline specialty for BONNIE CATHERINE CALLAHAN (M.D.) here. Clinical services aligned with this taxonomy classification.
Does BONNIE CATHERINE CALLAHAN (M.D.) list a practice location?
Patients near Newark, Delaware may find BONNIE CATHERINE CALLAHAN (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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