Antoinette M Ptak, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

C1-0004804 Issued in DE

Practice address

101 Wellness Way Ste 300
Milford, DE 19963-4366

Phone

(302) 503-2460

Fax

(302) 424-9162

NPI assigned

May 27, 2005

Last updated

May 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

Urology

Education

State University of Ny Upstate Medical University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
• Beebe Medical Center Hospital, Lewes, DE, CCN 080007
• Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
• Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
• Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Bayhealth Medical Center, Inc

  dba Bayhealth Physicians

  • Colon & Rectal Surgery Physician
  • Dover, DE
  • NPI 1285809509

  Urology

  Medicare reassignment Care Compare group NPD
• Bayhealth Medical Center, Inc

  • Gastroenterology Physician
  • Milford, DE
  • NPI 1639938525
  NPD
• Urology Associates of Southern Delaware, P.a.

  • Urology Physician
  • Lewes, DE
  • NPI 1265486831
  NPD (past)

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

• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Sussex Campus

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Care Compare affiliation
• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Kent Campus

  • General Acute Care Hospital
  • Dover, DE
  • NPI 1467546135
  Care Compare affiliation
• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Care Compare affiliation
• Tidalhealth Nanticoke, Inc

  • General Acute Care Hospital
  • Seaford, DE
  • NPI 1245214477
  Care Compare affiliation
• Tidalhealth Peninsula Regional, Inc.

  • General Acute Care Hospital
  • Salisbury, MD
  • NPI 1780689463
  Care Compare affiliation

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1396748943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-480-1688",
            "fax_number": "302-480-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WELLNESS WAY STE 300",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199634366",
            "telephone_number": "302-503-2460",
            "fax_number": "302-424-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PTAK",
        "first_name": "ANTOINETTE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "DE",
            "license": "C1-0004804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Jocelyn Pritchett, LMSW
• PRN Staffers Inc (Prn Staffers Home Healthcare Agency)
• PRN Staffers Skilled Care Agency (PRN Staffers Home Health Care)
• Rebekah Proudfoot, APRN
• PT Works de, LLC
• Andrea Nicole Puddicombe, DMD
• Pure Wellness of Milford, LLC
• Kelsey Ann Queen, M.S., BCBA
• Rabail Qureshi, M.D
• Keren Rams-Harmon

• Urology Physician in Milford, DE
• Providers in Milford, DE by specialty
• Urology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.