Michael Wydila, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

C10005759 Issued in DE

Practice address

1403 Silverside Rd Ste 4B
Wilmington, DE 19810-4434

Phone

(302) 798-8070

Fax

(302) 798-5902

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in DE

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 1

Specialty

Allergy/ImmunologyAlso: Pediatric Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Michael M Wydila MD PA

  • Allergy & Immunology Physician
  • Wilmington, DE
  • NPI 1093876716
  Medicare reassignment NPD Authorized official
• Medical Doctors of Anesthesiology, PA

  • Anesthesiology Physician
  • Eden, NC
  • NPI 1508811977
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1760495097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 SILVERSIDE RD STE 4B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104434",
            "telephone_number": "302-798-8070",
            "fax_number": "302-798-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 SILVERSIDE RD STE 4B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104434",
            "telephone_number": "302-798-8070",
            "fax_number": "302-798-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYDILA",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "DE",
            "license": "C10005759",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "DE",
            "license": "C10005759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2625833000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000024676",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4620757",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marketta Wright, LCSW
• Otis Wright
• Christina Wrzesien, PHARMD
• Claire Yue Wu, PSY.D.
• Claudine Wujcik
• Allen J. Wyllie
• Amy R Wynn
• Diane Biggers Wysock, CRNA
• Lynne Carol Wyzykiewicz, NP
• Tianxiao Xiang, PHARMD

• Allergy & Immunology Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Allergy & Immunology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.

Verify at the official NPI Registry.