Southern Delaware Medical Group, PA
NPI 1386662054ActiveOrganization· Family Medicine· Milford, DE
Family Medicine in Milford, Delaware, registered in NPPES in July 2006. The authorized official on file is Olga Samary Gonzalez, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386662054 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2006 |
| Last updated in NPPES | Sep 16, 2021 |
| Certified by provider | Jul 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | C20006015 | DE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DE) |
|---|
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