SOUTHERN DELAWARE IMAGING ASSOC – Diagnostic Radiology Physician, NPI 1780780627
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SOUTHERN DELAWARE IMAGING ASSOC
PO BOX 70
NASSAU, DE 199690070
Phone: (302) 645-3636
Fax: (302) 645-3133
Type: Mailing
PO BOX 97
NASSAU, DE 199690097
Phone: (302) 645-7919
Fax: (302) 645-7841
Type: Mailing
17503, Nassau Commons Boulevard, Nassau, Lewes, Sussex County, Delaware, 19958, United States
LEWES, DE 199586283
Phone: (302) 645-7919
Fax: (302) 645-7841
Type: Mailing
Beebe Medical Center, 424, Savannah Road, Highland Acres, Lewes, Sussex County, Delaware, 19958, United States
LEWES, DE 199581462
Phone: (302) 645-3636
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: 2026-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 28 Medicare enrollment records; no due dates published yet.
Enrollment records
28
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 |
|---|---|---|---|---|
| O20080421000153 | O | Clinic/Group Practice | DE | TBD |
| O20240313003255 | O | Clinic/Group Practice | CO | TBD |
| O20240313003996 | O | Clinic/Group Practice | TX | TBD |
| O20240318002563 | O | Clinic/Group Practice | FL | TBD |
| O20240321000830 | O | Clinic/Group Practice | GA | TBD |
| O20240328003403 | O | Clinic/Group Practice | KS | TBD |
| O20240402001371 | O | Clinic/Group Practice | MA | TBD |
| O20240411001810 | O | Clinic/Group Practice | PA | TBD |
| O20240415000385 | O | Clinic/Group Practice | CA | TBD |
| O20240415001800 | O | Clinic/Group Practice | MN | TBD |
| O20240422002116 | O | Clinic/Group Practice | HI | TBD |
| O20240424002463 | O | Clinic/Group Practice | IL | TBD |
| O20240425003308 | O | Clinic/Group Practice | WA | TBD |
| O20240426000278 | O | Clinic/Group Practice | UT | TBD |
| O20240429001877 | O | Clinic/Group Practice | VA | TBD |
| O20240503002626 | O | Clinic/Group Practice | OH | TBD |
| O20240510000365 | O | Clinic/Group Practice | NY | TBD |
| O20240515001724 | O | Clinic/Group Practice | NC | TBD |
| O20240522000078 | O | Clinic/Group Practice | MD | TBD |
| O20240614001047 | O | Clinic/Group Practice | SC | TBD |
| O20241121001144 | O | Clinic/Group Practice | AZ | TBD |
| O20241204001141 | O | Clinic/Group Practice | MO | TBD |
| O20241218000409 | O | Clinic/Group Practice | NC | TBD |
| O20241224000398 | O | Clinic/Group Practice | MI | TBD |
| O20250108000354 | O | Clinic/Group Practice | TN | TBD |
| O20250110001544 | O | Clinic/Group Practice | NH | TBD |
| O20250110002073 | O | Clinic/Group Practice | CT | TBD |
| O20260205002552 | O | Clinic/Group Practice | PR | 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 19969)
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