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DIVINE INTERNAL MEDICINE LLC
NPI 1295032852
Internal Medicine in North East, MD

Active since February 17, 2011CLIA 21D2048577 · Waiver
28 FLINT DR, NORTH EAST, MD 21901(443) 877-6194(443) 877-6235 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2024, Mar 27, 2018 (2 updates tracked since 2018).

About Divine Internal Medicine Llc NPPES

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

DIVINE INTERNAL MEDICINE LLC (NPI 1295032852) is a healthcare organization registered as an internal medicine in North East, Maryland and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through October 17, 2026 and lists Cornelius Ope, Owner / President, as its authorized official.

NPPES Registry Identity

NPI1295032852
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDIVINE INTERNAL MEDICINE LLC
Location Address28 FLINT DRNorth East, MD 21901-3746
Mailing Address28 Flint DrNorth East, MD 21901-3746 · (443) 877-6194 · Fax (443) 877-6235
Phone(443) 877-6194
Fax(443) 877-6235
Organization SubpartNo
Authorized OfficialCornelius OpeOwner / President · (443) 877-6194
Enumeration DateFebruary 17, 2011
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1295032852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNuclear MedicineTaxonomy 207U00000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
28 FLINT DR, North East, MD 21901
Open in Google Maps ↗

Other Identifiers 1

Other217678MD · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2048577

Divine Internal Medicine, LLC · North East, MD
Active · expires Oct 17, 2026
CLIA Number21D2048577
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorDr. Cornelius O. Ope
Laboratory Phone(443) 877-6194
Laboratory LocationDivine Internal Medicine, LLC28 Flint Drive, North East, MD 21901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

JOHN H. REYNOLDS, O.D., P.A.
Optometrist
28 FLINT DR
NORTH EAST, MD 21901
Cecil County (410) 287-2800
MOA PSYCHIATRIC PRACTICE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
28 FLINT DR
NORTH EAST, MD 21901
Cecil County (240) 997-0287
FOX'S HOLISTIC CARE
Nurse Practitioner (Family)
28 FLINT DR
NORTH EAST, MD 21901
Cecil County (302) 797-1462
DR. JOHN HALL REYNOLDS O.D.
Optometrist
28 FLINT DR
NORTH EAST, MD 21901
Cecil County (410) 287-2800

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 Divine Internal Medicine LLC's NPI number?

The NPI number for Divine Internal Medicine LLC is 1295032852. It was assigned to this organization in the NPPES registry on February 17, 2011.

Where is Divine Internal Medicine LLC located?

Divine Internal Medicine LLC is located at 28 Flint Dr, North East, MD 21901. The listed phone number is (443) 877-6194.

What is Divine Internal Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Divine Internal Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2048577) is associated with this NPI, valid through October 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Divine Internal Medicine LLC accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Divine Internal Medicine LLC 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 Divine Internal Medicine LLC was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.