Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sam Kidane

Individual provider Family Nurse Practitioner · NPI 1497412399

Sam Kidane is a Nurse Practitioner in Newark, Delaware. Qualified in 2021, 5 years ago. Practices with Inova Ucc LLC, a 153-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Delaware and Virginia.

Years since qualifying
5
Licensed in
DE, VA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

314 E Main St Ste 103
Newark, DE 19711-7180
Phone: (302) 366-0550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 330 White Oak Rd, Fredericksburg, VA 22405-2792 — (540) 373-2424

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence LG-0011831 (DE)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024188207 (VA)

Record details

NPI number1497412399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 26, 2021
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024
Mailing address3830 Green St, Claymont, DE 19703-2054

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Inova Ucc Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations13 on file with Medicare

Other providers in Newark