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PHILLIPH BIALECKI M.D.
NPI 1902884463
Emergency Medicine in Dover, DE

Active since January 05, 2006PECOS Enrolled
640 S STATE ST, DOVER, DE 19901(302) 744-6156(302) 735-3845 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2024, Aug 18, 2022 (2 updates tracked since 2022).

About Philliph Bialecki M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIPH BIALECKI M.D. (NPI 1902884463) is an individual emergency medicine provider in Dover, Delaware, licensed in Delaware (C1-0027192) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902884463
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePHILLIPH BIALECKICredential: M.D.
Location Address640 S STATE STDover, DE 19901-3530
Mailing Address640 S. State St, Mail Code 3055Dover, DE 19901-3530 · (302) 744-6156 · Fax (302) 735-3845
Phone(302) 744-6156
Fax(302) 735-3845
Sole ProprietorNo
Enumeration DateJanuary 5, 2006
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1902884463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in DE · C1-0027192
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
640 S STATE ST, Dover, DE 19901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philliph Bialecki M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
57 services55 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN MCARTOR
Pharmacist
640 S STATE ST
DOVER, DE 19901
Kent County (302) 744-7018
FRANCIS LIM MD
Internal Medicine
640 S STATE ST
DOVER, DE 19901
Kent County (419) 276-1194
SUMUKH ARUN KUMAR MD
Internal Medicine (Hematology & Oncology)
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700
ABIGAIL KOZHUHAROV
Nurse Practitioner (Acute Care)
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700
SAFWAN MUHAMMAD MD
Internal Medicine
640 S STATE ST
DOVER, DE 19901
Kent County (879) 022-5410
MS. REBECCA SUZANNE ANTAL PA-C
Physician Assistant
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700
DONNA MARIE SHORT R.PH.
Pharmacist
640 S STATE ST, PHARMACY
DOVER, DE 19901
Kent County (302) 744-7018
MARY KATHERINE TROYER RN
Registered Nurse (Critical Care Medicine)
640 S STATE ST
DOVER, DE 19901
Kent County (302) 674-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philliph Bialecki's NPI number?

The NPI number for Philliph Bialecki is 1902884463. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Philliph Bialecki located?

Philliph Bialecki practices at 640 S State St, Dover, DE 19901. The listed phone number is (302) 744-6156.

What is Philliph Bialecki's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Philliph Bialecki enrolled in Medicare?

Yes. Philliph Bialecki is registered in the Medicare PECOS enrollment system.

What insurance does Philliph Bialecki accept?

Health plans from Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Philliph Bialecki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Philliph Bialecki was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.