NPIMap

Organization Active NPI

Bayhealth Medical Center, Inc

  • Neurology Physician
  • Milford, DE
National Provider Identifier
1609693498
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BAYHEALTH MEDICAL CENTER, INC
Practice address
101 Wellness Way Ste 250
Milford, DE 19963-4396
Phone
(302) 744-6592
NPI assigned
Sep 23, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

101 Wellness Way Ste 250
Milford, DE 19963-4396

Mailing address

101 Wellness Way Ste 250
Milford, DE 19963-4396
Phone (302) 744-6592

Other practice location 1

18383 Hudson Rd Fl 2
Milton, DE 19968-3103
Phone (302) 744-6592

Other names 1

  • Bayhealth Neurology, Sussex Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081010000398 DE Part B Supplier - Hospital Department(S) 1658364740 Receives reassigned benefits from 265 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Milford, DE; Milton, DE; Smyrna, DE; Dover, DE; Harrington, DE; Middletown, DE
O20160527000094 DE Part B Supplier - Hospital Department(S) 1658364740 Receives reassigned benefits from 333 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dover, DE; Milford, DE

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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

Practitioners & affiliated clinicians

Practitioners 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1609693498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WELLNESS WAY STE 250",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199634396",
            "telephone_number": "302-744-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WELLNESS WAY STE 250",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199634396",
            "telephone_number": "302-744-6592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18383 Hudson Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "DE",
            "postal_code": "199683103",
            "country_code": "US",
            "telephone_number": "302-744-6592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYHEALTH MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "TRETINA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "302-744-7162"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayhealth Neurology, Sussex",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 23, 2024; 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.