SOUTHERN DELAWARE MEDICAL GROUP, PA
NPI 1386662054
Family Medicine in Milford, DE
About Southern Delaware Medical Group, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN DELAWARE MEDICAL GROUP, PA (NPI 1386662054) is a healthcare organization registered as a family medicine in Milford, Delaware and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 27, 2028 and lists Olga Samary Gonzalez, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Southern Delaware Medical Group, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Delaware Medical Group, PA, 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)
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 08D1057990
Southern Delaware Medical Group, PA · Milford, DEFrequently 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 Southern Delaware Medical Group, PA's NPI number?
The NPI number for Southern Delaware Medical Group, PA is 1386662054. It was assigned to this organization in the NPPES registry on July 18, 2006.
Where is Southern Delaware Medical Group, PA located?
Southern Delaware Medical Group, PA is located at 100 Silicato Pkwy Ste 301, Milford, DE 19963. The listed phone number is (302) 725-2040.
What is Southern Delaware Medical Group, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Southern Delaware Medical Group, PA enrolled in Medicare?
Yes. Southern Delaware Medical Group, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Delaware Medical Group, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Southern Delaware Medical Group, PA. 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 Southern Delaware Medical Group, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 08D1057990) is associated with this NPI, valid through August 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southern Delaware Medical Group, PA accept?
Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Highmark Blue Cross Blue Shield Delaware list Southern Delaware Medical Group, PA 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 Southern Delaware Medical Group, PA was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Southern Delaware Medical Group, Pa · NPI 1386662054
Family Medicine organization in Milford, Delaware. Organization record, active in the CMS NPPES registry since July 18, 2006.
## Identity
- **NPI:** 1386662054 (Entity type: Organization)
- **Enumerated:** July 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Olga Gonzalez, PRACTICE MANAGER
## Practice location
- **Address:** 100 SILICATO PKWY STE 301, Milford, DE 19963-1272
- **Phone:** (302) 725-2040 · **Fax:** (855) 403-0778
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386662054) · Data from the CMS NPPES public registry.