Active NPI
Raymond A Bologna, M.D.
- Urology Physician
- Milford, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- C1-0025497
- Practice address
- 101 Wellness Way Ste 300
Milford, DE 19963-4366 - Phone
- (302) 503-2460
- Fax
- (302) 424-9162
- NPI assigned
- Feb 28, 2006
- Last updated
- May 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | C1-0025497 | DE | |
| Urology Physician | 208800000X | C1-0025497 | DE | Primary |
Addresses
Primary practice location
101 Wellness Way Ste 300
Milford, DE 19963-4366
Mailing address
640 S State St # Mc3055
Dover, DE 19901-3530
Phone (302) 480-1688
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Northeastern Ohio University College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Wellness Way
300 Bayhealth Urology Sussex
Milford, DE 19963-4366
Phone (302) 503-2460
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0025497 | DE | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc | Urology | Current | Accepting new patients |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Summa Physicians LLC | Past | Accepting new patients |
Locations
640 S State St
Dover, DE 19901
Phone (302) 744-4700
640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
101 Wellness Way
Ste 300
Milford, DE 19963
Phone (302) 393-5009
18383 Hudson Rd
Milton, DE 19968
Phone (302) 725-3499
18383 Hudson Rd
Ste 2
Milton, DE 19968
1 Akron General Ave
Bldg Attn
Akron, OH 44307
224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505
224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400
320 W Exchange St
Akron, OH 44302
Phone (330) 535-4428
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
1946 Town Park Blvd
Ste 320
Green, OH 44685
Phone (330) 375-4428
Interoperability endpoints
- rbologna92332@direct.ccf.org
Organizations & group practices 5
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.
-
dba Bayhealth Physicians
- Colon & Rectal Surgery Physician
- Dover, DE
- NPI 1285809509
Urology
-
- Gastroenterology Physician
- Milford, DE
- NPI 1639938525
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
dba Summa Health Medical Group
- Geriatric Medicine (Internal Medicine) Physician
- Uniontown, OH
- NPI 1457662769
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bayhealth Hospital, Sussex Campus
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
dba Bayhealth Hospital, Kent Campus
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1447226337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S STATE ST # MC3055",
"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": "BOLOGNA",
"first_name": "RAYMOND",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "DE",
"license": "C1-0025497",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "DE",
"license": "C1-0025497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, DE
Sources for this page
- 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.