Intracoastal Internal Medicine
NPI 1770515272 · Internal Medicine Physician · Wilmington, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Intracoastal Internal Medicine is a Internal Medicine Physician organization in Wilmington, NC (NPI 1770515272).
Provider details
- NPI number
- 1770515272
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Dahlstrom, Admin Asst(910) 332-0701
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2019-06-19
Frequently asked questions
- What is Intracoastal Internal Medicine's NPI number?
- Intracoastal Internal Medicine's National Provider Identifier (NPI) is 1770515272, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intracoastal Internal Medicine?
- Intracoastal Internal Medicine is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Intracoastal Internal Medicine located?
- Intracoastal Internal Medicine's practice location on file with NPPES is 2580 Pickard Rd, Wilmington, NC 28403-4461.
- What is Intracoastal Internal Medicine's phone number?
- The practice phone number listed in the NPPES registry for Intracoastal Internal Medicine is (910) 332-0701.
- Does Intracoastal Internal Medicine accept Medicare?
- Intracoastal Internal Medicine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Intracoastal Internal Medicine?
- The authorized official listed on Intracoastal Internal Medicine's NPPES record is Kimberly Dahlstrom, Admin Asst. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intracoastal Internal Medicine's NPI active?
- Yes — Intracoastal Internal Medicine's NPI (1770515272) is active in the NPPES registry as of the last update on 2019-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.