Bayhealth Medical Center, Inc
Organization Active NPI Colon & Rectal Surgery Physician · Dover, DE
NPI 1285809509 · NPPES record last updated Mar 10, 2025
Key facts
- NPI
- 1285809509
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Colon & Rectal Surgery Physician 208C00000X
- Legal business name
- BAYHEALTH MEDICAL CENTER, INC
- Practice address
- 640 S State St
Dover, DE 19901-3530 - Phone
- (302) 674-4700
- Fax
- (302) 257-5777
- NPI assigned
- Apr 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Gary Siegelman, M.D.
- Title
- Senior VP/Cmo
- Phone
- (302) 674-3970
Owned or controlled facilities with NPI records 5
Other NPIs on the same Medicare enrollment 10
Other NPIs with the same Medicare PAC ID 15
Practitioners 535
-
Vincent D Abbrescia, D.O
-
Edward Lee Alexander III, M.D.
-
Hajira Amir, MD
-
Maria Azhar, MD
-
Raymond A Bologna, M.D.
-
David J Cloney, M.D.
-
Bhavin R Dave, MD
-
Patricia Deer, FNP
-
Henry Degroot III, M.D.
-
Tricia L Delnay, ACNP-BC, DNP
-
Roni Dermo, MD
-
Joseph Michael Deutsch, M.D.
-
Michelle Devern, FNP-C
-
Carole Ann Dye, NP-C
-
Jennifer A Eakin, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Bayhealth Hospital, Kent Campus |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1997 |
| Bayhealth Hospital |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1997 |
| Pam Rehabilitation Hospital of Dover |
Hospital | 5% Or Greater Direct Ownership Interest | Jan 1, 2022 |
| Pam Health Rehabilitation Hospital of Georgetown |
Hospital | 5% Or Greater Direct Ownership Interest (50%) | Jan 1, 2022 |
| Bayada Home Health Care at Bayhealth |
Home health agency | 5% Or Greater Direct Ownership Interest (48%) | Jun 26, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081010000398 | DE | Part B Supplier - Hospital Department(S) | 1658364740 |
Receives reassigned benefits from 265 practitioners 10 other NPIs on this enrollment Practice locations: Milford, DE; Milton, DE; Smyrna, DE; Dover, DE; Harrington, DE; Middletown, DE |
National Provider Directory
Locations (25 of 36)
307 S Laws St
Bridgeville, DE 19933
874 Walker Rd
Dover, DE 19904
Phone (302) 734-5438
655 S Bay Rd
Unit B
Dover, DE 19901
1113 S State St
Ste 100
Dover, DE 19901
Phone (302) 734-7676
540 S Governors Ave
Ste 201
Dover, DE 19904
Phone (302) 672-4600
530 S State St
Dover, DE 19901
200 Banning St
Ste 250
Dover, DE 19904
Phone (302) 736-1320
800 N Dupont Hwy
Dover, DE 19901
724 S New St
Dover, DE 19904
Phone (302) 674-4070
640 S State St
Ste 2
Dover, DE 19901
540 S Governors Ave
Dover, DE 19904
Phone (302) 744-7400
640 S State St
#3081
Dover, DE 19901
1275 S State St
Dover, DE 19901
Phone (302) 672-2319
655 S Bay Rd
Dover, DE 19901
1100 Forrest Ave
Dover, DE 19904
Phone (302) 672-4600
200 Banning St
Ste 320
Dover, DE 19904
Phone (302) 674-0223
640 S State St
Bldg 742
Dover, DE 19901
560 S Governors Ave
Dover, DE 19904
Phone (302) 744-7095
655 S Bay Rd
Ste 1J
Dover, DE 19901
5407 Killens Pond Rd
Felton, DE 19943
Phone (302) 284-3800
25 Bridgeville Rd
Georgetown, DE 19947
Phone (302) 855-1349
205 Shaw Ave
Harrington, DE 19952
Phone (302) 398-8704
209 E Main St
Slp Ctr
Middletown, DE 19709
Phone (302) 464-3965
209 E Main St
Ste 3
Middletown, DE 19709
Phone (302) 464-3967
209 E Main St
Slp Care
Middletown, DE 19709
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | |||
| Gastroenterology Physician |
207RG0100X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Neurological Surgery Physician |
207T00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Otolaryngology Physician |
207Y00000X | |||
| Plastic Surgery Physician |
208200000X | |||
| Psychiatry Physician |
2084P0800X | |||
| Surgery Physician |
208600000X | |||
| Urology Physician |
208800000X | |||
| Colon & Rectal Surgery Physician |
208C00000X | Yes |
Addresses
Primary practice location
640 S State St
Dover, DE 19901-3530
Mailing address
PO Box 822639
Philadelphia, PA 19182-2639
Phone (302) 674-3970
Other names
- Bayhealth Physicians
Other providers in Dover, DE
- Bayhealth
- Bayhealth Emergency Physicians LLC
- Bayhealth Medical Center
- Bayhealth Medical Center / Kent General Hospital
- Bayhealth Medical Center, Inc
- Bayhealth Medical Center, Inc
- Bayhealth Medical Center, Inc
- Bayhealth Medical Center, Inc
- Bayhealth Medical Center, Inc
- Bayhealth Medical Center, Inc
All providers in Dover, DE · Colon & Rectal Surgery Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.