Active NPI
Marek T Didluch, M.D.
- Family Medicine Physician
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301085501
- 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.
-
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1366544728
FL
-
- Urgent Care Clinic/Center
- Bluefield, VA
- NPI 1215219878
Family Medicine, VA
-
- Family Medicine Physician
- Wilmington, DE
- NPI 1255692182
DE, Family Medicine
-
- Urgent Care Clinic/Center
- Vero Beach, FL
- NPI 1811405277
-
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1023067220
-
- Urgent Care Clinic/Center
- Pine Bluff, AR
- NPI 1154784882
Family Medicine
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
Practice addresses (Care Compare)
12116 State Route 30
North Huntingdon, PA 15642-1843
Phone (724) 863-4362
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI, WV, PA, VA, AR, DE, MD, FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care Arkansas, P.a. | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Medexpress Urgent Care Texas, P.a. | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Maryland | Family Medicine | Current | Accepting new patients |
| Dwic of Tampa Bay, Inc | Current | Accepting new patients | |
| Ucmg LLC | Current | Accepting new patients | |
| Medexpress, Inc - Delaware | Family Medicine | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Massachusetts | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Massachusetts | Current | 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 | Current | Accepting new patients |
| Medexpress Urgent Care Arkansas, P.a. | Family Medicine | Current | Accepting new patients |
| Medexpress Urgent Care of Boynton Beach, LLC | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc. | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Medexpress Urgent Care Texas, P.a. | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Virginia | Family Medicine | Current | Accepting new patients |
| Medexpress Urgent Care of Boynton Beach, LLC | Current | Accepting new patients | |
| Medexpress Urgent Care Texas, P.a. | Current | Accepting new patients | |
| Medexpress, Inc - Delaware | Family Medicine | Current | 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
- mdidluch21525@gohealthupmc.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301085501 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104730839 | Medicaid | MI | |
| MD085501 | Other | MI | LICENSE NUMBER |
| 149834 | Other | MI | GREAT LAKES HEALTH PLAN |
| 381870664 | Other | MI | PRIVATE HEALTH CARE SYSTE |
| 7616564 | Other | MI | AETNA |
| 080G376200 | Other | MI | BCBSM |
| 381870664 | Other | MI | PPOM |
| 0731145 | Other | MI | BCBSM |
| 381870664 | Other | MI | PRIORITY HEALTHCARE |
| 381870664 | Other | MI | HEALTH 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.