Active NPI
Bayhealth Medical Center, Inc
- Clinic/Center
- Milford, DE
National Provider Identifier
1063005759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- BAYHEALTH MEDICAL CENTER, INC
- Practice address
- 804 N Dupont Blvd
Milford, DE 19963-1006 - Phone
- (302) 674-3970
- NPI assigned
- Feb 15, 2021
- Organization subpart
- Yes
- Parent organization
- BAYHEALTH MEDICAL CENTER, INC
Authorized official
NPPES NPI Registry- Name
- Michael Tretina, CPA, FHFMA, FACHE
- Title
- Senior VP/ Cfo
- Phone
- (302) 744-7162
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Neurological Surgery Physician
- Dover, DE
- NPI 1184181992
O20040405001600
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Dover, DE
- NPI 1720545536
O20040405001600
-
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
O20040405001600
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Milford, DE
- NPI 1740475649
-
- Family Medicine Physician
- Dover, DE
- NPI 1700447489
-
- Mental Health Counselor
- Dover, DE
- NPI 1164501243
-
- Gastroenterology Physician
- Dover, DE
- NPI 1144202300
-
- Family Medicine Physician
- Dover, DE
- NPI 1275683310
-
- Internal Medicine Physician
- Milford, DE
- NPI 1124511167
-
- Internal Medicine Physician
- Milford, DE
- NPI 1245817923
-
- Radiation Oncology Physician
- Dover, DE
- NPI 1326144841
-
- Family Medicine Physician
- Milton, DE
- NPI 1851357057
-
- Family Medicine Physician
- Dover, DE
- NPI 1285165811
-
- Medical Oncology Physician
- Dover, DE
- NPI 1750346698
-
- Internal Medicine Physician
- Dover, DE
- NPI 1033649538
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 08D2215910 | Bayhealth Internal Medicine, Milford | Provider-performed microscopy | Mar 8, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040405001600 | DE | Part B Supplier - Clinic/Group Practice | 1658364740 |
Receives reassigned benefits from 228 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dover, DE; Milford, DE |
National Provider Directory
National Provider Directory- Tax ID family
- Bayhealth KGH
- Part of
- Bayhealth KGH
Other organizations with this tax ID 26
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Dover, DE
- NPI 1962495838
-
- General Acute Care Hospital
- Milton, DE
- NPI 1215863170
-
- Medical Oncology Physician
- Dover, DE
- NPI 1295292183
-
- Clinic Pharmacy
- Dover, DE
- NPI 1336420280
-
- Surgery Physician
- Dover, DE
- NPI 1407615388
-
- General Acute Care Hospital
- Middletown, DE
- NPI 1518893551
-
- Sleep Disorder Diagnostic Clinic/Center
- Bear, DE
- NPI 1528483427
-
- Cardiovascular Disease Physician
- Dover, DE
- NPI 1588456479
-
- Anatomic Pathology Physician
- Dover, DE
- NPI 1609333590
-
- Neurology Physician
- Milford, DE
- NPI 1609693498
-
- General Acute Care Hospital
- Dover, DE
- NPI 1689500720
-
- Gastroenterology Physician
- Dover, DE
- NPI 1740049626
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
804 N Dupont Blvd
Milford, DE 19963-1006
Mailing address
640 S State St
Dover, DE 19901-3530
Phone (302) 674-3970
Other names 1
NPPES NPI Registry- Bayhealth Internal Medicine Milford
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2021.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613347200000",
"number": "1063005759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S STATE ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199013530",
"telephone_number": "302-674-3970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 N DUPONT BLVD",
"city": "MILFORD",
"state": "DE",
"postal_code": "199631006",
"telephone_number": "302-674-3970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYHEALTH MEDICAL CENTER, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAYHEALTH MEDICAL CENTER, INC",
"enumeration_date": "2021-02-15",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A",
"authorized_official_last_name": "TRETINA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "SENIOR VP/ CFO",
"authorized_official_telephone_number": "302-744-7162",
"authorized_official_credential": "CPA, FHFMA, FACHE"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bayhealth Internal Medicine Milford",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.