Individual Healthcare Provider
Antony Leslie Innasimuthu, MD
Provider's NPPES record last updated: February 26, 2020
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1104080639
- Primary Specialty
- Internal Medicine — Cardiovascular Disease
- Practice Location
- Newark, Delaware
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 10:54 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Internal Medicine
Cardiovascular Disease
Allopathic & Osteopathic Physicians
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Taxonomy code 207RC0000X Internal Medicine
Interventional Cardiology
Allopathic & Osteopathic Physicians
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Taxonomy code 207RI0011XNuclear Medicine
Nuclear Cardiology
Allopathic & Osteopathic Physicians
A nuclear medicine physician who specializes in nuclear cardiology.
Taxonomy code 207UN0901XRadiology
Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Taxonomy code 2085R0204XClinic/Center
Medical Specialty
Ambulatory Health Care Facilities
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Taxonomy code 261QM2500XGeneral Acute Care Hospital
Hospitals
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Taxonomy code 282N00000X
Provider-Reported License Information
- Internal Medicine (Delaware)
- C1-0010967
- Internal Medicine (Delaware)
- C1-0010967
- Nuclear Medicine (Delaware)
- C1-0010967
- Radiology (Delaware)
- C1-0010967
- Clinic/Center (Delaware)
- C1-0010967
- General Acute Care Hospital (Delaware)
- C1-0010967
Practice Locations
Practice Location
620 Stanton Christiana Rd
Suite 203
Newark, Delaware 19713-2133
Phone: (302) 338-9444
Record Information
- Enumeration Date
- July 14, 2008
- Provider's NPPES Record Last Updated
- February 26, 2020
- Certification Date
- February 26, 2020
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue