NPIMap

Organization Active NPI

Bayhealth Medical Center, Inc

Doing business as Bayhealth Pathology, Kent Campus

  • Anatomic Pathology Physician
  • Dover, DE
National Provider Identifier
1609333590
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
Legal business name
BAYHEALTH MEDICAL CENTER, INC
Doing business as
Bayhealth Pathology, Kent Campus
Practice address
640 S State St
Dover, DE 19901-3530
Phone
(302) 744-7000
Fax
(302) 744-7181
NPI assigned
Feb 27, 2019
Last updated
May 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Michael Tretina
Title
Sr. Vice President/Cfo
Phone
(302) 744-7162

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X NU Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X NU

Addresses

Primary practice location

640 S State St
Dover, DE 19901-3530

Mailing address

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7000

Other names 1

  • Bayhealth Pathology, Kent Campus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190716000269 DE Part B Supplier - Hospital Department(S) 1658364740 Receives reassigned benefits from 8 practitioners
Practice locations: Dover, DE

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Kent General Hospital27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bayhealth Hospital, Kent CampusDover, DE, CCN 080004 Hospital Operational/Managerial Control (100%) Jan 1, 1997
Bayhealth HospitalMilford, DE, CCN 080009 Hospital Operational/Managerial Control (100%) Jan 1, 1997
Pam Rehabilitation Hospital of DoverDover, DE, CCN 083027 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 2022
Pam Health Rehabilitation Hospital of GeorgetownGeorgetown, DE, CCN 083028 Hospital 5% Or Greater Direct Ownership Interest (50%) Jan 1, 2022
Bayada Home Health Care at BayhealthDover, DE, CCN 087024 Home health agency 5% Or Greater Direct Ownership Interest (48%) Jun 26, 2017

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1609333590",
    "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": "302-744-7000",
            "fax_number": "302-744-7181"
        },
        {
            "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": "302-744-7000",
            "fax_number": "302-744-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYHEALTH MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "TRETINA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "302-744-7162"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayhealth Pathology, Kent Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayhealth Pathology, Kent Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.