United Medical Clinic of DE, LLC – Internal Medicine Physician, NPI 1396046108
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for United Medical Clinic of DE, LLC
1113 S State St Ste 203
Dover, DE 199014112
Phone: (302) 261-5600
Fax: (302) 450-3181
Type: Location
121 BECKSWOODS DRIVE
SUITE 100
BEAR, DE 197014773
Phone: (866) 862-2955
Fax: (302) 836-4302
Type: Location
161 BECKS WOODS DR
BEAR, DE 197013833
Phone: (302) 266-9166
Fax: (866) 670-8036
Type: Mailing
600 Delaware Ave
Wilmington, DE 198011430
Phone: (302) 261-5600
Type: Location
38 Deak Dr
Smyrna, DE 199771268
Phone: (302) 261-5600
Fax: (302) 653-9563
Type: Location
121 BECKS WOODS DR STE 100
BEAR, DE 197013853
Phone: (302) 261-5600
Fax: (302) 836-4302
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: 2011-03-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| O20110322000499 | O | Clinic/Group Practice | DE | 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 19901)
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