Active NPI
Terrence S. Delikat, DO, P.L.
- Family Medicine Physician
- Bartow, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TERRENCE S. DELIKAT, DO, P.L.
- Practice address
- 1350 E Main St Ste C-2
Bartow, FL 33830-5064 - Phone
- (863) 537-6151
- Fax
- (863) 537-7146
- NPI assigned
- Nov 29, 2007
- Last updated
- Mar 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terrence Delikat, DO PL
- Title
- Dr
- Phone
- (863) 537-6151
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264803200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2079159 | Terrence S Delikat DO PL | Certificate of waiver | Jun 10, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Bartow, FL
- NPI 1154326775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677628800000",
"number": "1558543843",
"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": {
"organization_name": "TERRENCE S. DELIKAT, DO, P.L.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-29",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A",
"authorized_official_last_name": "DELIKAT",
"authorized_official_first_name": "TERRENCE",
"authorized_official_title_or_position": "DR",
"authorized_official_telephone_number": "863-537-6151",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO PL"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": null,
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.