Individual provider Active NPI

Marek T Didluch, M.D.

  • Family Medicine Physician
  • Flint, MI
National Provider Identifier
1750312641
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301085501 Issued in MI
Practice address
2265 S. Linden Rd.
Ste a
Flint, MI 48532
Phone
(810) 720-8700
Fax
(810) 720-3393
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 26

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLC 254 clinicians

Practice addresses (Care Compare)

12116 State Route 30
North Huntingdon, PA 15642-1843
Phone (724) 863-4362

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI, WV, PA, VA, AR, DE, MD, FL, TX10 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20041122000196 IL Practitioner - Family Practice 1951366756
I20050608001045 MI Practitioner - Family Practice 1951366756
I20180719003746 WV Practitioner - Family Practice 1951366756
I20180918002268 PA Practitioner - Family Practice 1951366756 Reassigns benefits to 2 organizations
I20230207003168 VA Practitioner - Family Practice 1951366756 Reassigns benefits to 1 organization
I20230208000361 AR Practitioner - Family Practice 1951366756 Reassigns benefits to 1 organization
I20230208003108 DE Practitioner - Family Practice 1951366756 Reassigns benefits to 1 organization
I20230320000993 MD Practitioner - Family Practice 1951366756 Reassigns benefits to 1 organization
I20230823000263 FL Practitioner - Family Practice 1951366756 Reassigns benefits to 2 organizations
I20231208001288 TX Practitioner - Family Practice 1951366756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care Arkansas, P.a. CurrentSince Jan 1, 2023 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jul 28, 2018 Accepting new patients
Medexpress Urgent Care Texas, P.a. CurrentSince Nov 6, 2023 Accepting new patients
Medexpress Urgent Care, PC - Maryland Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Jul 1, 2023 Accepting new patients
Ucmg LLC CurrentSince Jun 1, 2025 Accepting new patients
Medexpress, Inc - Delaware Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Medexpress Urgent Care, PC - Massachusetts CurrentSince Jul 12, 2023 Accepting new patients
Medexpress Urgent Care, PC - Massachusetts CurrentSince Jul 12, 2023 Accepting new patients
Medexpress Urgent Care, PC - Maryland Current Accepting new patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Medexpress Urgent Care Arkansas, P.a. Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Jul 1, 2023 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jul 28, 2018 Accepting new patients
Medexpress Urgent Care Texas, P.a. Current Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Jul 1, 2023 Accepting new patients
Medexpress Urgent Care Texas, P.a. CurrentSince Nov 6, 2023 Accepting new patients
Medexpress, Inc - Delaware Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Mary Hitchcock Memorial Hospital Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Dartmouth-Hitchcock Clinic Past Accepting new patients

Locations

1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971

2722 Concord Pike
Wilmington, DE 19803
Phone (302) 477-1406

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

1505 Memorial Dr
Chicopee, MA 01020
Phone (413) 331-4336

430 Cooley St
Springfield, MA 01128
Phone (413) 295-4144

1741 Dual Hwy
Ste A
Hagerstown, MD 21740
Phone (301) 790-0254

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

12116 State Route 30
North Huntingdon, PA 15642
Phone (724) 382-5626

8945 State Route 30
North Huntingdon, PA 15642
Phone (412) 684-3900

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

5001 S Hulen St
Fort Worth, TX 76132
Phone (817) 361-1928

22915 Morton Ranch Rd
Katy, TX 77449
Phone (281) 574-0124

1305 N Highway 77
Waxahachie, TX 75165
Phone (972) 937-1203

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • Direct secure messaging: mdidluch21525@gohealthupmc.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301085501 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

2265 S. Linden Rd.
Ste a
Flint, MI 48532

Mailing address

2265 S. Linden Rd.
Ste a
Flint, MI 48532
Phone (810) 720-8700

Other practice location 1

12116 State Route 30
North Huntingdon, PA 15642-1843
Phone (724) 863-4362

Other identifiers 10

NPPES NPI Registry
IdentifierTypeStateIssuer
104730839MedicaidMI
MD085501OtherMILICENSE NUMBER
149834OtherMIGREAT LAKES HEALTH PLAN
381870664OtherMIPRIVATE HEALTH CARE SYSTE
7616564OtherMIAETNA
080G376200OtherMIBCBSM
381870664OtherMIPPOM
0731145OtherMIBCBSM
381870664OtherMIPRIORITY HEALTHCARE
381870664OtherMIHEALTH CARE ALLIANCE POOL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2024.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1750312641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 S. LINDEN RD.",
            "address_2": "STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-720-8700",
            "fax_number": "810-720-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 S. LINDEN RD.",
            "address_2": "STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-720-8700",
            "fax_number": "810-720-3393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12116 State Route 30",
            "address_purpose": "LOCATION",
            "city": "North Huntingdon",
            "state": "PA",
            "postal_code": "156421843",
            "country_code": "US",
            "telephone_number": "724-863-4362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIDLUCH",
        "first_name": "MAREK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301085501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104730839",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MD085501",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "149834",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTH CARE SYSTE",
            "identifier": "381870664",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7616564",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "080G376200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "381870664",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0731145",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTHCARE",
            "identifier": "381870664",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE ALLIANCE POOL",
            "identifier": "381870664",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.