Unknown Individual – Dermatology Physician, NPI 1558325746

Unknown Individual is a healthcare provider. based in Lewes, Delaware. specializing in Dermatology Physician. They hold a License No. C10007095 (DE). The NPI Number for Unknown Individual is 1558325746

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1558325746
Phone
(302) 644-6400
Address
750 KINGS HWY
Deactivation Date
24 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
0446219646
Professional Enrollment ID
I20111012000133
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 750, Kings Highway, Highland Acres, Lewes, Sussex County, Delaware, 19958, United States

    STE 110

    LEWES, DE 19958

    Phone: (302) 644-6400

    Fax: (302) 644-6409

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 19958)

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Provider's Procedures

Unknown Individual performs procedures in Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYDE11101Biopsy of each additional growth of skin and/or tissue5551
DERMATOLOGYDE17003Destruction of 2-14 skin growths1584276

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1558325746?
NPI 1558325746 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Delaware is Unknown Individual registered?
Use Lewes, Delaware as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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