Individual provider Active NPI

Philliph Bialecki, M.D.

  • Emergency Medicine Physician
  • Dover, DE
National Provider Identifier
1902884463
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C1-0027192 Issued in DE
Practice address
640 S State St
Dover, DE 19901-3530
Phone
(302) 744-6156
Fax
(302) 735-3845
NPI assigned
Jan 5, 2006
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C1-0027192 DE Primary

Addresses

Primary practice location

640 S State St
Dover, DE 19901-3530

Mailing address

640 S. State St
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 744-6156

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160120001678 FL Practitioner - Emergency Medicine 9638154800 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0027192DEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Nov 15, 2024 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Em Alliance LLC Emergency Medicine CurrentSince Jun 25, 2025 Accepting new patients
Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Spfld Urb Emergency Physicians Inc Emergency Medicine Past Accepting new patients
P.R. Care, LTD Past Accepting new patients
Emergency Medicine Physicians of Franklin County, LTD Emergency Medicine Past Accepting new patients
Spfld Urb Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Circleville Emergency Physicians Inc. Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Guernsey County, LTD Emergency Medicine Past Accepting new patients
Emergency Services, Inc. Emergency Medicine Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

7 Easton Oval
#L4387
Columbus, OH 43219

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1902884463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE ST",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-744-6156",
            "fax_number": "302-735-3845"
        },
        {
            "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": "302-744-6156",
            "fax_number": "302-735-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIALECKI",
        "first_name": "PHILLIPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C1-0027192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.