Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Fidel Dale Mendres Bautista, MD

Individual provider Family Medicine Physician · NPI 1114112067

Dr. Fidel Dale Mendres Bautista, MD is a Family Practice in Sellersville, Pennsylvania. Qualified in 2003, 23 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
23
Licensed in
PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

915 Lawn Ave
Sellersville, PA 18960-1551
Phone: (215) 257-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence MD435036 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD435036 (PA)

Record details

NPI number1114112067
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 12, 2007
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Sellersville