Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DIAMOND STATE PRIMARY CARE, LLC
NPI 1386246940
Family Medicine in Newark, DE

Active since November 09, 2020CLIA 08D2209747 · Waiver
1400 PEOPLES PLZ STE 305, NEWARK, DE 19702(302) 838-2210(302) 838-2129 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Dec 3, 2020, Nov 11, 2020 (3 updates tracked since 2020).

About Diamond State Primary Care, Llc NPPES

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

DIAMOND STATE PRIMARY CARE, LLC (NPI 1386246940) is a healthcare organization registered as a family medicine in Newark, Delaware and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Imelyn Fernandez Lahey, Owner, as its authorized official.

NPPES Registry Identity

NPI1386246940
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDIAMOND STATE PRIMARY CARE, LLC
Location Address1400 PEOPLES PLZ STE 305Newark, DE 19702-5708
Mailing Address1400 Peoples Plz Ste 305Newark, DE 19702-5708 · (603) 991-4824 · Fax (302) 838-2129
Fax(302) 838-2129
Organization SubpartNo
Authorized OfficialImelyn Fernandez LaheyOwner · (302) 838-2210
Enumeration DateNovember 9, 2020
Last NPPES UpdateOctober 15, 20263 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1386246940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1400 PEOPLES PLZ STE 305, Newark, DE 19702

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diamond State Primary Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Diamond State Primary Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1780999300
1400 PEOPLES PLZ STE 305
Newark, DE 19702
(302) 838-2210
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912718818
1 CENTURIAN DR
Newark, DE 19713
(302) 999-0003
✔ PECOS✔ Accepts Medicare4.7 mi

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 08D2209747

Diamond State Primary Care, LLC · Newark, DE
Active · expires Jan 14, 2027
CLIA Number08D2209747
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorImelyn Lahey
Laboratory Phone(302) 838-2210
Laboratory LocationDiamond State Primary Care, LLC1400 Peoples Plaza, Suite 305, Newark, DE 19702
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Diamond State Primary Care, LLC's NPI number?

The NPI number for Diamond State Primary Care, LLC is 1386246940. It was assigned to this organization in the NPPES registry on November 9, 2020.

Where is Diamond State Primary Care, LLC located?

Diamond State Primary Care, LLC is located at 1400 Peoples Plz Ste 305, Newark, DE 19702. The listed phone number is (302) 838-2210.

What is Diamond State Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Diamond State Primary Care, LLC enrolled in Medicare?

Yes. Diamond State Primary Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diamond State Primary Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Diamond State Primary Care, LLC, in Family Practice 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Diamond State Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D2209747) is associated with this NPI, valid through January 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Diamond State Primary Care, LLC accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Diamond State Primary Care, 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 Diamond State Primary Care, LLC was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.