NPIMap

Organization Active NPI

Bayhealth Medical Center, Inc.

Doing business as Bayhealth Observation Physicians

  • Emergency Medicine Physician
  • Dover, DE
National Provider Identifier
1679072144
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
BAYHEALTH MEDICAL CENTER, INC.
Doing business as
Bayhealth Observation Physicians
Practice address
640 S State St
Dover, DE 19901-3530
Phone
(302) 744-7113
NPI assigned
Feb 9, 2018
Last updated
Mar 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BAYHEALTH MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

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 1

  • Bayhealth Observation Physicians Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180411000470 DE Part B Supplier - Clinic/Group Practice 1658364740 Receives reassigned benefits from 113 practitioners
Practice locations: Dover, DE; Milford, 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
Part of
Milford Memorial Hospit

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 114

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 114

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1679072144",
    "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"
        },
        {
            "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": "302-744-7113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Wellness Way",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199634364",
            "country_code": "US",
            "telephone_number": "302-744-7113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYHEALTH MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYHEALTH MEDICAL CENTER, INC.",
        "enumeration_date": "2018-02-09",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "TRETINA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SENIOR VP/ CFO",
        "authorized_official_telephone_number": "302-744-7162"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayhealth Observation Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.