Organization Active NPI

Bayhealth Medical Center, Inc

  • Gastroenterology Physician
  • Milford, DE
National Provider Identifier
1639938525
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
BAYHEALTH MEDICAL CENTER, INC
Practice address
100 Wellness Way
Milford, DE 19963-4364
Phone
(302) 393-5006
NPI assigned
Mar 14, 2024
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 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
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

100 Wellness Way
Milford, DE 19963-4364

Mailing address

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7113

Other names 1

  • Bayhealth Gastroenterology, Sussex Campus 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

Locations

1078 S State St
Apt 3
Dover, DE 19901
Phone (302) 674-0643

540 S Governors Ave
Ste 100
Dover, DE 19904
Phone (302) 526-1470

540 S Governors Ave
Ste 200
Dover, DE 19904
Phone (302) 744-7400

655 S Bay Rd
Ste 1F
Dover, DE 19901
Phone (302) 730-4366

665 S Bay Rd
#B
Dover, DE 19901

665 S Bay Rd
Unit D1
Dover, DE 19901
Phone (302) 744-6820

665 S Bay Rd
Unit D2
Dover, DE 19901
Phone (302) 450-4040

724 S New St
Dover, DE 19904
Phone (302) 674-4070

201 Shaw Ave
Harrington, DE 19952
Phone (302) 398-0370

105 Kings Hwy
Milford, DE 19963
Phone (302) 424-5590

200 Kings Hwy
Ste 3
Milford, DE 19963
Phone (302) 398-0370

21 W Clarke Ave
Ste 6
Milford, DE 19963
Phone (302) 430-5900

517 S DuPont Blvd
Milford, DE 19963
Phone (302) 424-6511

519S Dupont Blvd
Milford, DE 19963
Phone (302) 424-6511

424 Mulberry St
Milton, DE 19968
Phone (302) 684-0561

100 S Main St
Ste 201
Smyrna, DE 19977
Phone (302) 508-2130

401 N Carter Rd
Ste 100
Smyrna, DE 19977
Phone (302) 653-2010

Practitioners & affiliated clinicians

Practitioners 672

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 672

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1639938525",
    "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": "302-744-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WELLNESS WAY",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199634364",
            "telephone_number": "302-393-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYHEALTH MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "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": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayhealth Gastroenterology, Sussex Campus",
            "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 Mar 14, 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.