Individual provider Active NPI

Tina Dombroski, PAC

  • Physician Assistant
  • Lewes, DE
National Provider Identifier
1578555207
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C50000405 Issued in DE
Practice address
1309 Savannah Rd
Suite B
Lewes, DE 19958-1514
Phone
(302) 645-6698
Fax
(302) 645-4505
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C50000405 DE Primary

Addresses

Primary practice location

1309 Savannah Rd
Suite B
Lewes, DE 19958-1514

Mailing address

PO Box 472
Lewes, DE 19958-0472
Phone (302) 645-6698

Other identifiers 1

IdentifierTypeStateIssuer
1000024043MedicaidDE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000697 DE Practitioner - Physician Assistant 0547399396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
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)

19161 Healthy Way
Rehoboth Beach, DE 19971-4491
Phone (302) 645-3300

21635 Biden Ave
Georgetown, DE 19947-4574
Phone (302) 260-7360

21635 Biden Ave
Unit 101
Georgetown, DE 19947-4575
Phone (302) 645-3555

23900 Milton Ellendale Hwy
Milton, DE 19968-2714
Phone (302) 684-5635

28538 Dupont Blvd
Millsboro, DE 19966-4791
Phone (302) 934-0944

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
62.88
Promoting interoperability
94
Improvement activities
40
Cost
75.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C50000405DEMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: tdombroski22844@beebehealth.direct-ci.com

Organizations & group practices 1

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.

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578555207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 472",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199580472",
            "telephone_number": "302-645-6698",
            "fax_number": "302-645-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 SAVANNAH RD",
            "address_2": "SUITE B",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581514",
            "telephone_number": "302-645-6698",
            "fax_number": "302-645-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBROSKI",
        "first_name": "TINA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C50000405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000024043",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.