Active NPI
Premier Medical Associates
- Pulmonary Disease Physician
- Lewes, DE
National Provider Identifier
1417769217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- PREMIER MEDICAL ASSOCIATES
- Practice address
- 1408 Savannah Rd
Lewes, DE 19958-1623 - Phone
- (302) 652-5109
- Fax
- (877) 575-3337
- NPI assigned
- Jan 21, 2025
- Last updated
- May 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lyron Andre Deputy
- Title
- Owner
- Phone
- (302) 652-5109
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Pulmonary Disease Physician | 207RP1001X | NU | Primary |
Addresses
Primary practice location
1408 Savannah Rd
Lewes, DE 19958-1623
Mailing address
620 Stanton Christiana Rd Ste 101
Newark, DE 19713-2134
Phone (302) 449-9314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200619000031 | DE | Part B Supplier - Clinic/Group Practice | 0345662490 |
Receives reassigned benefits from 14 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wilmington, DE; Newark, DE; Millsboro, DE; Milford, DE; Middletown, DE; Lewes, DE; Georgetown, DE; Dover, DE |
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Pulmonary Disease Physician
- Wilmington, DE
- NPI 1043003015
O20200619000031
-
- Pulmonary Disease Physician
- Middletown, DE
- NPI 1306638549
O20200619000031
-
- Pulmonary Disease Physician
- Georgetown, DE
- NPI 1821880964
O20200619000031
-
- Pulmonary Disease Physician
- Middletown, DE
- NPI 1972396935
O20200619000031
National Provider Directory
National Provider Directory- Tax ID family
- Premier Medical Associates
Other organizations with this tax ID 10
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pulmonary Disease Physician
- Wilmington, DE
- NPI 1043003015
-
- Family Nurse Practitioner
- Newark, DE
- NPI 1154836500
-
- Pulmonary Disease Physician
- Middletown, DE
- NPI 1306638549
-
- Pulmonary Disease Physician
- Lewes, DE
- NPI 1427841477
-
- Pulmonary Disease Physician
- Dover, DE
- NPI 1710770763
-
- Family Nurse Practitioner
- Dover, DE
- NPI 1760347553
-
- Pulmonary Disease Physician
- Georgetown, DE
- NPI 1821880964
-
- Pulmonary Disease Physician
- Milford, DE
- NPI 1871386839
-
- Pulmonary Disease Physician
- Millsboro, DE
- NPI 1932992997
-
- Pulmonary Disease Physician
- Middletown, DE
- NPI 1972396935
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Newark, DE
- NPI 1134441702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747958400000",
"number": "1417769217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 STANTON CHRISTIANA RD STE 101",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132134",
"telephone_number": "302-449-9314",
"fax_number": "877-575-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 SAVANNAH RD",
"city": "LEWES",
"state": "DE",
"postal_code": "199581623",
"telephone_number": "302-652-5109",
"fax_number": "877-575-3337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-21",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A",
"authorized_official_last_name": "DEPUTY",
"authorized_official_first_name": "LYRON",
"authorized_official_middle_name": "ANDRE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "302-652-5109"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewes, DE
- Danielle Prabish, RN
- Rajinder Prasad, M.D.
- Madhu Srinivas Prattipati, M.D.
- Preaches Vellah Inc
- Olindo Joseph Preli, MD
- Premier Medical Associates
- Premier Orthopaedic Bone and Joint Care
- Premier Physical Therapy and Sports Performance Limited Partnership
- Premier Physical Therapy and Sports Performance Limited Partnership
- Alison Preston, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.