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LIGHTHOUSE COMPLEX CARE OF DELAWARE INC
NPI 1720797251
Clinic/Center - Multi-Specialty in Wilmington, DE

Active since November 23, 2022CLIA 08D2285740 · Waiver
2500 GRUBB RD STE 123, WILMINGTON, DE 19810(302) 304-3417(302) 467-2474 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 2, 2024, Jul 28, 2023, Mar 3, 2023 and 1 more (4 updates tracked since 2022).

About Lighthouse Complex Care Of Delaware Inc NPPES

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

LIGHTHOUSE COMPLEX CARE OF DELAWARE INC (NPI 1720797251) is a healthcare organization registered as a multi-specialty in Wilmington, Delaware and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Meera Manickam, Owner, as its authorized official.

NPPES Registry Identity

NPI1720797251
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLIGHTHOUSE COMPLEX CARE OF DELAWARE INC
Location Address2500 GRUBB RD STE 123Wilmington, DE 19810-4711
Mailing Address2500 Grubb Rd Ste 123Wilmington, DE 19810-4711 · (302) 304-3417 · Fax (302) 467-2474
Phone(302) 304-3417
Fax(302) 467-2474
Organization SubpartNo
Authorized OfficialMeera ManickamOwner · (302) 740-1347
Enumeration DateNovember 23, 2022
Last NPPES UpdateApril 2, 20244 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1720797251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
2500 GRUBB RD STE 123, Wilmington, DE 19810
Open in Google Maps ↗

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 AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.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)

Lighthouse Complex Care Of Delaware Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Lighthouse Complex Care Of Delaware Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Dane Fliedner, MD
Pediatric Medicine
NPI 1164568655
2500 GRUBB RD STE 123
Wilmington, DE 19810
(302) 304-3417
✔ PECOS✔ Accepts MedicareSame address
Monica Cooke, APRN
Nurse Practitioner
NPI 1699379784
5165 W WOODMILL DR STE 12
Wilmington, DE 19808
(302) 789-0545
✔ PECOS✔ Accepts Medicare11 mi
Jill Erwin, FNP-BC
Nurse Practitioner
NPI 1548986821
361 FAIR HILL DR
Elkton, MD 21921
(410) 620-7260
✔ PECOS✔ Accepts Medicare21 mi
Sapna Muragali, M.D.
Family Practice
NPI 1881973279
255 FRONT ST
Hellertown, PA 18055
(610) 838-1010
✔ PECOS53 mi
Jacqueline Kelly, CRNP
Nurse Practitioner
NPI 1366203036
737 W LOMBARD ST
Baltimore, MD 21201
(410) 706-2300
✔ PECOS70 mi
Kathleen Mcewen, CRNP
Nurse Practitioner
NPI 1902827454
3893 WILLIAM PENN HWY
Monroeville, PA 15146
(412) 372-2127
✔ PECOS230 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 08D2285740

Lighthouse Complex Care Of Delaware, Inc · Wilmington, DE
Active · expires Jul 17, 2027
CLIA Number08D2285740
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorDane Fliedner
Laboratory Phone(302) 304-3417
Laboratory LocationLighthouse Complex Care Of Delaware, Inc2500 Grubb Rd Ste 123, Wilmington, DE 19810
CLIA data matches this NPI record on: Address 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 Lighthouse Complex Care Of Delaware Inc's NPI number?

The NPI number for Lighthouse Complex Care Of Delaware Inc is 1720797251. It was assigned to this organization in the NPPES registry on November 23, 2022.

Where is Lighthouse Complex Care Of Delaware Inc located?

Lighthouse Complex Care Of Delaware Inc is located at 2500 Grubb Rd Ste 123, Wilmington, DE 19810. The listed phone number is (302) 304-3417.

What is Lighthouse Complex Care Of Delaware Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Lighthouse Complex Care Of Delaware Inc enrolled in Medicare?

Yes. Lighthouse Complex Care Of Delaware Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lighthouse Complex Care Of Delaware Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Lighthouse Complex Care Of Delaware Inc. 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. The largest specialties are Nurse Practitioner (4), Family Practice (1) and Pediatric Medicine (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lighthouse Complex Care Of Delaware Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D2285740) is associated with this NPI, valid through July 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lighthouse Complex Care Of Delaware Inc accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Lighthouse Complex Care Of Delaware Inc 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 Lighthouse Complex Care Of Delaware Inc was last updated on April 2, 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.