INTEGRATED HEALTH, LLC – Adult Medicine Physician, NPI 1063182830
Adult Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for INTEGRATED HEALTH, LLC
1197 Airport Rd Fl 2
Milford, DE 199636491
Phone: (844) 365-2202
Fax: (844) 558-1878
Type: Location
291 CARTER DR STE B
MIDDLETOWN, DE 197095845
Phone: (844) 365-2202
Fax: (844) 558-1878
Type: Mailing
405 Silverside Rd Ste 104
Wilmington, DE 198091768
Phone: (844) 365-2202
Fax: (844) 558-1878
Type: Location
291 Carter Dr Ste B
Middletown, DE 197095845
Phone: (844) 365-2202
Fax: (844) 558-1878
Type: Location
3105 Limestone Rd Ste 300
Wilmington, DE 198082156
Phone: (844) 365-2202
Fax: (844) 558-1878
Type: Location
223 WILMINGTON W CHESTER PIKE STE 214
CHADDS FORD, PA 193179007
Phone: (302) 766-5368
Type: Mailing
360 E PULASKI HWY FL 3
ELKTON, MD 219216457
Phone: (844) 365-7246
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: 2024-08-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20221011002172 | O | Clinic/Group Practice | DE | TBD |
| O20240821000742 | O | Clinic/Group Practice | MD | TBD |
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.
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 19963)
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