Nicholas Carroll Destefano, MD
NPI 1154776755ActiveIndividual· Family Medicine· Millsboro, DE
Family Medicine (MD) in Millsboro, Delaware, trained at Wayne State University School of Medicine (class of 2016). Enrolled in Medicare as practitioner - family practice.
Overview
| NPI | 1154776755 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 2, 2016 |
| Last updated in NPPES | Sep 1, 2026 |
| Certified by provider | Sep 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | C1-0028577 | DE |
| General Practice | 208D00000X | 30177 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (DE) |
|---|
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Beebe Physician Network Inc.Rehoboth Beach, DE · 310 clinicians
Hospital affiliation
- Beebe Medical CenterLewes, DE
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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