DELAWARE INTEGRATIVE HEALTHCARE LLC – General Practice Physician, NPI 1225500093
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DELAWARE INTEGRATIVE HEALTHCARE LLC
222 S DuPont Hwy Ste 203
Dover, DE 199013798
Phone: (302) 744-8650
Type: Location
272 Carter Dr Ste 120
Middletown, DE 197095850
Phone: (302) 378-5110
Type: Location
6, East Main Street, South Farms, Middletown, Middlesex County, Connecticut, 06457, United States
MIDDLETOWN, DE 197091463
Phone: (302) 376-5830
Fax: (302) 376-6517
Type: Mailing
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: 2020-05-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (678 days ago).
Enrollment records
2
Earliest due date
2024-07-31
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 |
|---|---|---|---|---|
| O20190124000265 | O | Clinic/Group Practice | DE | 2024-07-31 |
| O20200518002651 | O | Nurse Practitioner | DE | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 19901)
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