Individual provider Active NPI

Kunwal Nasrullah, MD

  • Internal Medicine Physician
  • Millsboro, DE
National Provider Identifier
1386384014
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C1-0028751 Issued in DE
Practice address
32050 Long Neck Rd
Millsboro, DE 19966-6228
Phone
(302) 645-3150
Fax
(833) 908-2232
NPI assigned
Mar 30, 2022
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C1-0028751 DE Primary

Addresses

Primary practice location

32050 Long Neck Rd
Millsboro, DE 19966-6228

Mailing address

1515 Savannah Rd FL 2
Lewes, DE 19958-1675
Phone (302) 645-3499

Other practice location 1

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3499

Other practice location 2

12100 Black Swan Dr Ste 104
Lewes, DE 19958-4991
Phone (302) 645-1315

Other practice location 3

28538 DuPont Blvd Unit 1
Millsboro, DE 19966-4791
Phone (302) 829-3294

Other practice location 4

23900 Milton Ellendale Hwy Ste 101
Milton, DE 19968-2714
Phone (302) 684-2033

Other practice location 5

36450 Tidal Rd Unit 2
Selbyville, DE 19975-4596
Phone (302) 291-6045

Other practice location 6

36223 Farm Ln Ste 140
Rehoboth Beach, DE 19971-1329
Phone (302) 227-1268

Other practice location 7

100 Silicato Pkwy Ste 201
Milford, DE 19963-1273
Phone (302) 393-2056

Other practice location 8

21635 Biden Ave Unit 101
Georgetown, DE 19947-4575
Phone (302) 856-9596

Other practice location 9

17388 N Village Main Blvd Unit 21
Lewes, DE 19958-7240
Phone (302) 291-6050

Other practice location 10

32550 Docs Pl Unit 2
Millville, DE 19967-6975
Phone (302) 539-4302

Other practice location 11

1008 Kings Hwy
Lewes, DE 19958-1932
Phone (302) 291-6031

Other practice location 12

18947 John J Williams Hwy Unit 303
Rehoboth Beach, DE 19971-4477
Phone (302) 644-0690

Other practice location 13

232 Mitchell St Unit 301
Millsboro, DE 19966-9412
Phone (302) 316-4190

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251105003720 DE Practitioner - Internal Medicine 2668962994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

32060 Long Neck Rd
Millsboro, DE 19966-6228
Phone (302) 645-3150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0028751DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network, Inc. CurrentSince Oct 21, 2025 Accepting new patients
Beebe Physician Network, Inc. Internal Medicine CurrentSince Oct 9, 2025 Accepting new patients

Locations

21635 Biden Ave
Unit 101
Georgetown, DE 19947
Phone (302) 856-9596

12100 Black Swan Dr
Ste 104
Lewes, DE 19958
Phone (302) 645-1315

1515 Savannah Rd
Fl 2
Lewes, DE 19958

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

28538 DuPont Blvd
Unit 1
Millsboro, DE 19966
Phone (302) 829-3294

32050 Long Neck Rd
Millsboro, DE 19966
Phone (302) 645-3150

32060 Long Neck Rd
Millsboro, DE 19966
Phone (302) 645-3150

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

23900 Milton Ellendale Hwy
Ste 101
Milton, DE 19968
Phone (302) 684-2033

18947 John J Williams Hwy
Unit 303
Rehoboth Beach, DE 19971
Phone (302) 644-0690

36450 Tidal Rd
Unit 2
Selbyville, DE 19975
Phone (302) 291-6045

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6835/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1386384014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAVANNAH RD FL 2",
            "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": "424 Savannah Rd",
            "address_purpose": "LOCATION",
            "city": "Lewes",
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            "postal_code": "199581462",
            "country_code": "US",
            "telephone_number": "302-645-3499",
            "fax_number": "302-644-4830",
            "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": "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": "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": "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": "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": "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": "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": "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": "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": "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": "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": "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"
        }
    ],
    "basic": {
        "last_name": "NASRULLAH",
        "first_name": "KUNWAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0028751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.