Delaware Integrative Healthcare – General Practice Physician, NPI 1477418218

Delaware Integrative Healthcare is a healthcare provider. based in New castle, Delaware. specializing in General Practice Physician. The NPI Number for Delaware Integrative Healthcare is 1477418218

Main info

Organization
Name
Delaware Integrative Healthcare
NPI
1477418218
Phone
(302) 546-3018
Address
92 READS WAY
Authorized Official
TREVOR ENNIS OWNER OF ENTITY
Enumeration Date
23 December 2025
Last Update Date
5 March 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness90
Years active:0State licenses:0Digital endpoints

Provider Addresses for Delaware Integrative Healthcare

  • 92 READS WAY

    NEW CASTLE, DE 197201631

    Phone: (302) 546-3018

    Type: Location

  • 401 E MAIN ST

    MIDDLETOWN, DE 197091491

    Phone:

    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: 2026-02-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20260222000050OClinic/Group PracticeDETBD

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.

Verify on CMS Revalidation Lookup Tool

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 19720)

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Reviews

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Frequently asked questions

How is Delaware Integrative Healthcare identified in CMS data?
CMS-hosted NPPES data lists Delaware Integrative Healthcare with NPI 1477418218.
Does CMS list Delaware Integrative Healthcare as active?
Yes — Delaware Integrative Healthcare is active in the NPI listing used on this page.
What healthcare role does Delaware Integrative Healthcare hold?
Scheduling teams often label Delaware Integrative Healthcare under General Practice Physician. Clinical services aligned with this taxonomy classification.
Does Delaware Integrative Healthcare list a practice location?
Patients near New Castle, Delaware may find Delaware Integrative Healthcare in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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