Organization Active NPI

Bayhealth Radiologists LLC

  • Diagnostic Radiology Physician
  • Dover, DE
National Provider Identifier
1366214124
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BAYHEALTH RADIOLOGISTS LLC
Practice address
640 S State St
Dover, DE 19901-3530
Phone
(302) 744-7162
NPI assigned
Oct 25, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BAYHEALTH MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Michael Tretina
Title
SVP & Cfo
Phone
(302) 744-7162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

640 S State St
Dover, DE 19901-3530

Mailing address

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7162

Other practice location 1

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 744-7162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL, DE, TX, AL, AZ, MA, SC, CA, PA, WA, VI, CO, NY, MO, MI, KS, UT, PR, HI, WI, KY, TN, NJ, OH, DC, MD, ME28 enrollments

Enrollment records 28

Enrollment IDStateProvider typePAC IDDetails
O20240110000037 FL Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 9 practitioners
Practice locations: Weston, FL; Riviera Beach, FL; Port St Lucie, FL; Pensacola Beach, FL; Naples, FL; Pembroke Pines, FL; Fort Lauderdale, FL; Jupiter, FL…
O20240123004560 IL Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 4 practitioners
Practice locations: Algonquin, IL; Chicago, IL; Hinsdale, IL; Western Springs, IL
O20240126002196 DE Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 37 practitioners
Practice locations: Milford, DE; Smyrna, DE; Milton, DE; Middletown, DE; Harrington, DE; Dover, DE
O20240126002748 TX Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 9 practitioners
Practice locations: El Paso, TX; Sugar Land, TX; Southlake, TX; Lubbock, TX; Houston, TX; Carrollton, TX; Austin, TX
O20240206001656 AL Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 1 practitioner
Practice locations: Vestavia Hills, AL
O20240207004040 AZ Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 11 practitioners
Practice locations: Scottsdale, AZ; Queen Creek, AZ; Phoenix, AZ; Paradise Valley, AZ; Chandler, AZ; Cave Creek, AZ
O20240208001581 MA Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 1 practitioner
Practice locations: Concord, MA
O20240209003187 SC Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 4 practitioners
Practice locations: Columbia, SC; Simpsonville, SC; North Augusta, SC
O20240209003414 CA Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 13 practitioners
Practice locations: El Centro, CA; Yorba Linda, CA; Woodland Hills, CA; Valley Village, CA; Santa Monica, CA; San Francisco, CA; San Clemente, CA; Rancho Cucamonga, CA…
O20240214003718 PA Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 3 practitioners
Practice locations: Bear Creek Township, PA; Gibsonia, PA; Royersford, PA
O20240215003262 WA Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 2 practitioners
Practice locations: Kennewick, WA; Lake Forest Park, WA
O20240215004249 VI Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 1 practitioner
Practice locations: Frederiksted, VI
O20240304000465 CO Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 3 practitioners
Practice locations: Grand Junction, CO; Lafayette, CO; Monument, CO
O20240311000552 NY Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 3 practitioners
Practice locations: East Setauket, NY; New York, NY; Sag Harbor, NY
O20240328000334 MO Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 1 practitioner
Practice locations: Parkville, MO
O20240410000529 MI Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 2 practitioners
Practice locations: Bloomfield Hills, MI; Mason, MI
O20240415003204 KS Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS
O20240418000333 UT Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 1 practitioner
Practice locations: Midway, UT
O20240418004145 PR Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 3 practitioners
Practice locations: Mayaguez, PR; San Juan, PR
O20240808004663 HI Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI
O20240909003212 WI Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 1 practitioner
Practice locations: Janesville, WI
O20241024004432 KY Part B Supplier - Clinic/Group Practice 0446601876 Practice locations: Bowling Green, KY
O20241211003449 TN Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, TN
O20250109002102 NJ Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 1 practitioner
Practice locations: Essex Fells, NJ
O20250204001973 OH Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 1 practitioner
Practice locations: Perrysburg, OH
O20250627000483 DC Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 1 practitioner
Practice locations: Great Falls, VA
O20260212004206 MD Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 1 practitioner
Practice locations: Laurel, MD
O20260311000928 ME Part B Supplier - Clinic/Group Practice 0446601876 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Elizabeth, ME

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1275 S State St
Dover, DE 19901
Phone (302) 672-2319

200 Banning St
Ste 170
Dover, DE 19904
Phone (302) 674-1999

540 S Governors Ave
Ste 101B
Dover, DE 19904
Phone (302) 744-7131

540 S Governors Ave
Ste 200
Dover, DE 19904
Phone (302) 744-7400

632 Mulberry St
Milton, DE 19968
Phone (302) 684-2010

401 N Carter Rd
Ste 101
Smyrna, DE 19977
Phone (302) 659-2190

383 Kalaimoku St
Apt D3502
Honolulu, HI 96815

Practitioners & affiliated clinicians

Practitioners 115

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.

View all 115

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1366214124",
    "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": "302-744-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-744-7162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Wellness Way",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199634364",
            "country_code": "US",
            "telephone_number": "302-744-7162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYHEALTH RADIOLOGISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYHEALTH MEDICAL CENTER INC",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "TRETINA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SVP & CFO",
        "authorized_official_telephone_number": "302-744-7162"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.