COASTAL PRIMARY CARE
NPI 1750064390
Family Medicine in Dover, DE

Active since August 10, 2023
4601 SOUTH DUPONT HIGHWAY, ST 1, DOVER, DE 19901(302) 698-1100 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2023, Aug 10, 2023 (2 updates tracked since 2023).

About Coastal Primary Care NPPES

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

COASTAL PRIMARY CARE (NPI 1750064390) is a healthcare organization registered as a family medicine in Dover, Delaware and active in the NPI registry since August 2023. The organization lists Ronnie Diem, Owner, as its authorized official.

NPPES Registry Identity

NPI1750064390
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOASTAL PRIMARY CARE
Location Address4601 SOUTH DUPONT HIGHWAY, ST 1Dover, DE 19901
Mailing Address4601 South Dupont Highway, St 1Dover, DE 19901 · (302) 331-9026
Organization SubpartNo
Authorized OfficialRonnie DiemOwner · (302) 331-9026
Enumeration DateAugust 10, 2023
Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1750064390 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.
4601 SOUTH DUPONT HIGHWAY, Dover, DE 19901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Coastal Primary Care, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1356991368
4601 S DUPONT HWY
Dover, DE 19901
(302) 698-1100
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1134191422
SUNSHINE HEALTH PROFESSIONALS 4601 S. DUPONT HIGHWAY, SUITE 2
Dover, DE 19901
(302) 698-1100
✔ PECOSSame address
Nurse Practitioner
NPI 1134956246
16479 S DUPONT HWY
Harrington, DE 19952
(302) 587-5017
✔ PECOS✔ Accepts Medicare11 mi
Emergency Medicine
NPI 1871570200
424 SAVANNAH RD
Lewes, DE 19958
(302) 670-2800
✔ PECOS31 mi

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 Coastal Primary Care's NPI number?

The NPI number for Coastal Primary Care is 1750064390. It was assigned to this organization in the NPPES registry on August 10, 2023.

Where is Coastal Primary Care located?

Coastal Primary Care is located at 4601 South Dupont Highway St 1, Dover, DE 19901. The listed phone number is (302) 698-1100.

What is Coastal Primary Care's specialty?

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

Is Coastal Primary Care enrolled in Medicare?

Yes. Coastal Primary Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Primary Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Coastal Primary Care, in Emergency Medicine, 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coastal Primary Care accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Coastal Primary Care 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 Coastal Primary Care was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.