Organization Active NPI

Michael M Wydila MD PA

Doing business as Allergy Associates PA

  • Allergy & Immunology Physician
  • Wilmington, DE
National Provider Identifier
1093876716
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
MICHAEL M WYDILA MD PA
Doing business as
Allergy Associates PA
Practice address
1403 Silverside Rd Ste 4B
Wilmington, DE 19810-4434
Phone
(302) 798-8070
Fax
(302) 798-5902
NPI assigned
Dec 13, 2006
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Dr. Michael Martin Wydila, MDNPI 1760495097
Title
President and Owner
Phone
(302) 798-8070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU Primary
Allergy Physician 207KA0200X NU

Addresses

Primary practice location

1403 Silverside Rd Ste 4B
Wilmington, DE 19810-4434

Mailing address

1403 Silverside Rd Ste 4B
Wilmington, DE 19810-4434
Phone (302) 798-8070

Other identifiers 4

IdentifierTypeStateIssuer
DE0802OtherDEPALMETTO GBA
2625833000OtherPAKEYSTONE HEALTHPLAN EAST
4620757OtherDEAETNA
2625833000OtherPAAMERIHEALTH

Other names 1

  • ALLERGY ASSOCIATES PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060113000608 DE Part B Supplier - Clinic/Group Practice 2860415056 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

1400 Philadelphia Pike
Ste A6
Wilmington, DE 19809
Phone (302) 798-8070

1403 Silverside Rd
Ste 4B
Wilmington, DE 19810
Phone (302) 798-8070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1093876716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 SILVERSIDE RD STE 4B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104434",
            "telephone_number": "302-798-8070",
            "fax_number": "302-798-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 SILVERSIDE RD STE 4B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104434",
            "telephone_number": "302-798-8070",
            "fax_number": "302-798-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M WYDILA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "WYDILA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "302-798-8070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DE0802",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTHPLAN EAST",
            "identifier": "2625833000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4620757",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2625833000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLERGY ASSOCIATES PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.