Nicholas Carroll Destefano, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C1-0028577 Issued in DE

Practice address

32050 Long Neck Rd
Millsboro, DE 19966-6228

Phone

(302) 645-3150

Fax

(833) 908-2232

NPI assigned

May 2, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Wayne State University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beebe Physician Network Inc.

  • Internal Medicine Physician
  • Lewes, DE
  • NPI 1730133992
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1154776755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAVANNAH RD STE 200",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581675",
            "telephone_number": "302-645-3499",
            "fax_number": "302-644-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32050 LONG NECK RD",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199666228",
            "telephone_number": "302-645-3150",
            "fax_number": "833-908-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21635 Biden Ave Unit 101",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199474575",
            "country_code": "US",
            "telephone_number": "302-856-9596",
            "fax_number": "302-645-4744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Gordon",
            "state": "GA",
            "postal_code": "30905",
            "country_code": "US",
            "telephone_number": "706-383-5299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17388 N Village Main Blvd Unit 21",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199587240",
            "country_code": "US",
            "telephone_number": "302-291-6050",
            "fax_number": "833-450-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12100 Black Swan Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199584991",
            "country_code": "US",
            "telephone_number": "302-645-1315",
            "fax_number": "302-644-2739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Silicato Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199631273",
            "country_code": "US",
            "telephone_number": "302-393-2056",
            "fax_number": "302-422-9359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28538 DuPont Blvd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Millsboro",
            "state": "DE",
            "postal_code": "199664791",
            "country_code": "US",
            "telephone_number": "302-829-3294",
            "fax_number": "833-314-0538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "232 Mitchell St Unit 301",
            "address_purpose": "LOCATION",
            "city": "Millsboro",
            "state": "DE",
            "postal_code": "199669412",
            "country_code": "US",
            "telephone_number": "302-316-4190",
            "fax_number": "302-934-1207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34445 King Street Row",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199584787",
            "country_code": "US",
            "telephone_number": "302-645-2833",
            "fax_number": "844-640-3955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36223 Farm Ln Ste 140",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199711329",
            "country_code": "US",
            "telephone_number": "302-227-1268",
            "fax_number": "302-227-1287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32550 Docs Pl Unit 2",
            "address_purpose": "LOCATION",
            "city": "Millville",
            "state": "DE",
            "postal_code": "199676975",
            "country_code": "US",
            "telephone_number": "302-539-4302",
            "fax_number": "302-645-4766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23900 Milton Ellendale Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "DE",
            "postal_code": "199682714",
            "country_code": "US",
            "telephone_number": "302-684-2033",
            "fax_number": "888-987-4302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18947 John J Williams Hwy Unit 303",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199714477",
            "country_code": "US",
            "telephone_number": "302-644-0690",
            "fax_number": "302-644-0695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36450 Tidal Rd Unit 2",
            "address_purpose": "LOCATION",
            "city": "Selbyville",
            "state": "DE",
            "postal_code": "199754596",
            "country_code": "US",
            "telephone_number": "302-291-6045",
            "fax_number": "833-449-3867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581932",
            "country_code": "US",
            "telephone_number": "302-291-6031",
            "fax_number": "833-954-4028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Savannah Rd",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581462",
            "country_code": "US",
            "telephone_number": "302-645-3150",
            "fax_number": "833-908-2232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESTEFANO",
        "first_name": "NICHOLAS",
        "middle_name": "CARROLL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0028577",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "30177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.