NPIMap

Bayhealth Medical Center, Inc.

Organization Active NPI Medical Oncology Physician · Milford, DE

NPI 1104383041 · NPPES record last updated Feb 28, 2019

Key facts

NPI
1104383041
Entity type
Organization (NPI type 2)
Primary specialty
Medical Oncology Physician 207RX0202X
Legal business name
BAYHEALTH MEDICAL CENTER, INC.
Practice address
100 Wellness Way
Milford, DE 19963-4364
Phone
(302) 430-5738
Fax
(302) 744-7181
NPI assigned
Feb 27, 2019
Organization subpart
No

Authorized official

Name
Michael Tretina
Title
Sr. Vice President/ Cfo
Phone
(302) 744-7162

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Practitioners 411

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 411

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DE

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bayhealth Hospital, Kent Campus
Dover, DE · CCN 080004		 Hospital Operational/Managerial Control (100%) Jan 1, 1997
Bayhealth Hospital
Milford, DE · CCN 080009		 Hospital Operational/Managerial Control (100%) Jan 1, 1997
Pam Rehabilitation Hospital of Dover
Dover, DE · CCN 083027		 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 2022
Pam Health Rehabilitation Hospital of Georgetown
Georgetown, DE · CCN 083028		 Hospital 5% Or Greater Direct Ownership Interest (50%) Jan 1, 2022
Bayada Home Health Care at Bayhealth
Dover, DE · CCN 087024		 Home health agency 5% Or Greater Direct Ownership Interest (48%) Jun 26, 2017

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190715002105 DE Part B Supplier - Hospital Department(S) 1658364740 Receives reassigned benefits from 28 practitioners
Practice locations: Milford, DE

National Provider Directory

Tax ID family
Bayhealth KGH (27 organizations share this tax ID)

Locations

640 S State St
Fl 2
Dover, DE 19901
Phone (302) 744-7500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RX0202X Yes

Addresses

Primary practice location

100 Wellness Way
Milford, DE 19963-4364

Mailing address

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7000

Other names

  • Bayhealth Medical Oncology, Sussex Campus Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 28, 2019.

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1104383041",
    "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": "302-744-7000",
            "fax_number": "302-744-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WELLNESS WAY",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199634364",
            "telephone_number": "302-430-5738",
            "fax_number": "302-744-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYHEALTH MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "TRETINA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT/ CFO",
        "authorized_official_telephone_number": "302-744-7162"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayhealth Medical Oncology, Sussex Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, DE

All providers in Milford, DE · Medical Oncology Physician in Delaware

Sources for this page

Verify at the official NPI Registry.