DIVINE INTERNAL MEDICINE LLC
NPI 1295032852
Internal Medicine in North East, MD
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 lists Cornelius Ope, Owner / President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Divine Internal Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Divine Internal Medicine LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MDFrequently 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.
Is Divine Internal Medicine LLC enrolled in Medicare?
Yes. Divine Internal Medicine LLC is registered in the Medicare PECOS enrollment system.
When is Divine Internal Medicine LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Divine Internal Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Divine Internal Medicine LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Divine Internal Medicine Llc · NPI 1295032852
Internal Medicine organization in North East, Maryland. Organization record, active in the CMS NPPES registry since February 17, 2011.
## Identity
- **NPI:** 1295032852 (Entity type: Organization)
- **Enumerated:** February 17, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Cornelius Ope, OWNER / PRESIDENT
## Practice location
- **Address:** 28 FLINT DR, North East, MD 21901-3746
- **Phone:** (443) 877-6194 · **Fax:** (443) 877-6235
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Maryland, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2024
- **Other identifiers:** Other 217678 (MD)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295032852) · Data from the CMS NPPES public registry.