NPIMap

Organization Active NPI

Bayhealth Medical Center, Inc

  • Orthopaedic Surgery Physician
  • Dover, DE
National Provider Identifier
1912766858
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BAYHEALTH MEDICAL CENTER, INC
Practice address
651 Bay Road
Suite 1F
Dover, DE 19901-4694
Phone
(302) 744-7113
NPI assigned
Mar 14, 2024
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Surgery Physician 208600000X

Addresses

Primary practice location

651 Bay Road
Suite 1F
Dover, DE 19901-4694

Mailing address

640 S State St
Dover, DE 19901-3530

Other practice location 1

640 S State St
Dover, DE 19901-3530
Phone (302) 730-4366

Other names 1

  • Bayhealth Orthopedics, Dover Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081010000398 DE Part B Supplier - Hospital Department(S) 1658364740 Receives reassigned benefits from 265 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Milford, DE; Milton, DE; Smyrna, DE; Dover, DE; Harrington, DE; Middletown, DE
O20160516002240 DE Part B Supplier - Hospital Department(S) 1658364740 Receives reassigned benefits from 166 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dover, DE

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 96

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 96

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1912766858",
    "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": "651 BAY ROAD",
            "address_2": "SUITE 1F",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014694",
            "telephone_number": "302-744-7113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 S State St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199013530",
            "country_code": "US",
            "telephone_number": "302-730-4366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYHEALTH MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "TRETINA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "302-744-7162"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayhealth Orthopedics, Dover",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bayhealth Orthopedics, Dover",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.