FENWICK MEDICAL CENTER PA
NPI 1396780664
Clinic/Center - Primary Care in Fenwick Island, DE
About Fenwick Medical Center Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FENWICK MEDICAL CENTER PA (NPI 1396780664) is a healthcare organization registered as a primary care in Fenwick Island, Delaware and active in the NPI registry since June 2006. The organization lists Nicholas Nicholson Borodulia, Practice Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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)
Fenwick Medical Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fenwick Medical Center PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fenwick Medical Center PA's NPI number?
The NPI number for Fenwick Medical Center PA is 1396780664. It was assigned to this organization in the NPPES registry on June 19, 2006.
Where is Fenwick Medical Center PA located?
Fenwick Medical Center PA is located at 1400 Coastal Hwy, Fenwick Island, DE 19944. The listed phone number is (302) 581-0458.
What is Fenwick Medical Center PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Fenwick Medical Center PA enrolled in Medicare?
Yes. Fenwick Medical Center PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fenwick Medical Center PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Fenwick Medical Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Fenwick Medical Center PA accept?
Health plans from Highmark Blue Cross Blue Shield Delaware list Fenwick Medical Center 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 Fenwick Medical Center PA was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Fenwick Medical Center Pa · NPI 1396780664
Primary Care organization in Fenwick Island, Delaware. Organization record, active in the CMS NPPES registry since June 19, 2006.
## Identity
- **NPI:** 1396780664 (Entity type: Organization)
- **Enumerated:** June 19, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Nicholas Borodulia, PRACTICE OWNER
## Practice location
- **Address:** 1400 COASTAL HWY, Fenwick Island, DE 19944
- **Phone:** (302) 581-0458 · **Fax:** (302) 581-0460
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2025
- **Other identifiers:** Other DG9614 (DE)
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Source: [NPI Profile](https://npiprofile.com/npi/1396780664) · Data from the CMS NPPES public registry.