Unknown Individual – Family Medicine Physician, NPI 1366498248

Unknown Individual is a healthcare provider. based in Seaford, Delaware. specializing in Family Medicine Physician. They hold a License No. 207Q00000X (DE). The NPI Number for Unknown Individual is 1366498248

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366498248
Phone
(302) 629-4569
Address
105A FRONT ST
Deactivation Date
30 April 2021
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

  • Front Street, Seaford Heights, Seaford, Sussex County, Delaware, 19973, United States

    SEAFORD, DE 199732707

    Phone: (302) 629-4569

    Fax: (302) 628-4669

    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.

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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 19973)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1366498248 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Delaware?
You will see Seaford, Delaware on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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