Individual provider Active NPI

Terrence Delikat, DO

  • Family Medicine Physician
  • Bartow, FL
National Provider Identifier
1154326775
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8368 Issued in FL
Practice address
1350 E Main St Ste C-2
Bartow, FL 33830-5064
Phone
(863) 537-6151
Fax
(863) 537-7146
NPI assigned
Jun 20, 2005
Reactivated
Apr 7, 2006
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8368 FL Primary

Addresses

Primary practice location

1350 E Main St Ste C-2
Bartow, FL 33830-5064

Mailing address

1350 E Main St Ste C-2
Bartow, FL 33830-5064
Phone (863) 537-6151

Other identifiers 1

IdentifierTypeStateIssuer
264803200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051102000366 FL Practitioner - General Practice 0446277198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1350 E Main St
Bartow, FL 33830-5064
Phone (863) 537-6151

515 Carlton St
Wauchula, FL 33873-3407
Phone (863) 773-6606

533 Carlton St
Wauchula, FL 33873-3407
Phone (863) 773-3101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS8368FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Dec 1, 2010 Accepting new patients
Terrence S. Delikat, DO, P.L. Family Medicine CurrentSince Aug 17, 2005 Accepting new patients
Adventist Health System-Sunbelt Inc Family Medicine CurrentSince Dec 1, 2010 Accepting new patients
Lakeside TLF, LLC Past Accepting new patients
Adventist Health System-Sunbelt Inc Family Medicine Past Accepting new patients
Adventist Health System-Sunbelt Inc Family Medicine Past Accepting new patients

Locations

1350 E Main St
Ste A-5
Bartow, FL 33830
Phone (863) 534-1434

1350 E Main St
Ste C-2
Bartow, FL 33830
Phone (863) 533-7803

25 N Lanier Ave
Fort Meade, FL 33841
Phone (863) 285-7171

3650 Innovation Dr
Lakeland, FL 33812
Phone (863) 285-7171

515 Carlton St
Wauchula, FL 33873
Phone (863) 773-6606

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

533 Carlton St
Wauchula, FL 33873
Phone (863) 767-8256

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBJCCA/Endpoint/EBJCCA

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Adventhealth Family Medicine WauchulaWauchula, FL, CCN 103448 Rural health clinic Other Jan 1, 2025

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1154326775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E MAIN ST STE C-2",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338305064",
            "telephone_number": "863-537-6151",
            "fax_number": "863-537-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MAIN ST STE C-2",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338305064",
            "telephone_number": "863-537-6151",
            "fax_number": "863-537-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIKAT",
        "first_name": "TERRENCE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264803200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

Verify at the official NPI Registry.