Bayhealth Medical Center, Inc.
Organization Active NPI Emergency Medicine Physician · Dover, DE
NPI 1679072144 · NPPES record last updated Mar 4, 2025
Key facts
- NPI
- 1679072144
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- BAYHEALTH MEDICAL CENTER, INC.
- Practice address
- 640 S State St
Dover, DE 19901-3530 - Phone
- (302) 744-7113
- NPI assigned
- Feb 9, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- BAYHEALTH MEDICAL CENTER, INC.
Authorized official
- Name
- Michael Tretina
- Title
- Senior VP/ Cfo
- Phone
- (302) 744-7162
Owned or controlled facilities with NPI records 5
Other NPIs with the same Medicare PAC ID 15
Practitioners 480
-
Robert Scott Baeder, D.O.
-
Brett S Blemle, PAC
-
Susan Brennan, D.O.
-
Michelle Devern, FNP-C
-
Annmarie Fenton-Kowrach, NP-C
-
Rachel Fields, AGACNP-BC
-
Ashley L Heisey, PA
-
Craig Hochstein, M.D.
-
Megan D Hoplock, FNP-C
-
Jonathan Ross Kaufmann, D.O.
-
Michelle L Leite, FNP-BC
-
Kenneth R Miller, PA-C
-
Jignesh Patel, PA
-
Sharad Patel, M.D.
-
Roshan D Prabhu, MD
-
Alissa Gregersen, AG-ACNP
-
Vincent D Abbrescia, D.O
-
Barrington O Brown, M.D.
-
Tricia L Delnay, ACNP-BC, DNP
-
Jennifer A Eakin, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Bayhealth Hospital, Kent Campus |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1997 |
| Bayhealth Hospital |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1997 |
| Pam Rehabilitation Hospital of Dover |
Hospital | 5% Or Greater Direct Ownership Interest | Jan 1, 2022 |
| Pam Health Rehabilitation Hospital of Georgetown |
Hospital | 5% Or Greater Direct Ownership Interest (50%) | Jan 1, 2022 |
| Bayada Home Health Care at Bayhealth |
Home health agency | 5% Or Greater Direct Ownership Interest (48%) | Jun 26, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180411000470 | DE | Part B Supplier - Clinic/Group Practice | 1658364740 |
Receives reassigned benefits from 113 practitioners Practice locations: Dover, DE; Milford, DE |
National Provider Directory
- Part of
- Bayhealth KGH
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
640 S State St
Dover, DE 19901-3530
Mailing address
640 S State St
Dover, DE 19901-3530
Other practice location 1
100 Wellness Way
Milford, DE 19963-4364
Phone (302) 744-7113
Other names
- Bayhealth Observation Physicians
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All providers in Dover, DE · Emergency Medicine Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.