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DR. NIEVES MARIA ZALDIVAR MD
NPI 1053558569
Pediatrics in Milford, DE

Active since January 21, 2009PECOS Enrolled
21 W CLARKE AVE STE 1001, MILFORD, DE 19963(302) 855-1233 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nieves Maria Zaldivar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NIEVES MARIA ZALDIVAR MD (NPI 1053558569) is an individual pediatrics provider in Milford, Delaware, licensed in Delaware (C10007929) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053558569
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. NIEVES MARIA ZALDIVARCredential: MD
Location Address21 W CLARKE AVE STE 1001Milford, DE 19963-1849
Mailing Address21444 Carmean WayGeorgetown, DE 19947-4572
Phone(302) 855-1233
Sole ProprietorNo
Enumeration DateJanuary 21, 2009
Last NPPES UpdateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1053558569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in DE · C10007929✔ Licensed in DC · MD11527✔ Licensed in MD · D0023716✔ Licensed in DE · C1-0007929
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedGeneral PracticeTaxonomy 208D00000X · License C10007929 (DE)
21 W CLARKE AVE STE 1001, Milford, DE 19963
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Other Identifiers 2

Medicaid0418500DC
Medicaid371410100MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nieves Maria Zaldivar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19963 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINE L HUTCHISON LPCMH, CADC
Counselor (Professional)
21 W CLARKE AVE STE 1001
MILFORD, DE 19963
Sussex County (302) 855-1233
CHRISTINE A STINTON D.M.D.
Dentist
21 W CLARKE AVE STE 1001
MILFORD, DE 19963
Sussex County (302) 855-1233
LA RED HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
21 W CLARKE AVE STE 1001
MILFORD, DE 19963
Sussex County (302) 855-1233
MS. JULIANA S ROSSI RPA-C
Physician Assistant
21 W CLARKE AVE STE 1001
MILFORD, DE 19963
Sussex County (302) 855-1233
MELANIE M SNYDER DMD
Dentist (Dental Public Health)
21 W CLARKE AVE STE 1001
MILFORD, DE 19963
Sussex County (302) 855-1233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nieves Zaldivar's NPI number?

The NPI number for Nieves Zaldivar is 1053558569. It was assigned to this individual provider in the NPPES registry on January 21, 2009.

Where is Nieves Zaldivar located?

Nieves Zaldivar practices at 21 W Clarke Ave Ste 1001, Milford, DE 19963. The listed phone number is (302) 855-1233.

What is Nieves Zaldivar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nieves Zaldivar enrolled in Medicare?

Yes. Nieves Zaldivar is registered in the Medicare PECOS enrollment system.

What insurance does Nieves Zaldivar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Nieves Zaldivar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nieves Zaldivar was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.