Mdlive Medical Group De PA
NPI 1992178115 · Family Medicine Physician · Bloomfield, CT
Provider details
- NPI number
- 1992178115
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sue-Ann Adrians, Government Programs Pm(945) 275-1345
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
8 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Mdlive Medical Group
Additional practice locations (7)
- 300 Bellevue Pkwy Ste 135Wilmington, DE 19809-3704Phone: (800) 400-6354
- 525 W Monroe St Ste 1650Chicago, IL 60661-3647Phone: (800) 400-6354
- 310 E 96th St Ste 200Indianapolis, IN 46240-0120Phone: (800) 400-6354
- 90 Canal St Ste 4Boston, MA 02114-2022Phone: (800) 400-6354
- 4500 Forbes Blvd Ste 200Lanham, MD 20706-6316Phone: (800) 400-6354
- 18 Campus Blvd Ste 100Newtown Square, PA 19073-3240Phone: (800) 400-6354
- 1661 International Dr Ste 400Memphis, TN 38120-1431Phone: (800) 400-6354
Registry dates
- Enumerated
- 2015-11-10
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.