NPIMap

Individual provider Active NPI

Richard Anthony Delucia Jr., M.D.

  • Family Medicine Physician
  • Jupiter, FL
National Provider Identifier
1003835604
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME076350 Issued in FL
Practice address
4600 Military TRL
Ste #115
Jupiter, FL 33458-4810
Phone
(561) 776-5252
Fax
(561) 776-5255
NPI assigned
Jul 18, 2006
Last updated
Feb 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME076350 FL Primary

Addresses

Primary practice location

4600 Military TRL
Ste #115
Jupiter, FL 33458-4810

Mailing address

4600 Military TRL
Ste #115
Jupiter, FL 33458-4810
Phone (561) 776-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000523 FL Practitioner - Family Practice 6204883416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jupiter Family Healthcare PAGroup PAC ID 4587611793, 7 clinicians
Fairway Physical Therapy LLCGroup PAC ID 3971563222, 85 clinicians

Practice addresses (Care Compare)

4600 Military TRL
Suite 115
Jupiter, FL 33458-4811
Phone (561) 776-5252

7100 Fairway Dr
Suite 42
Palm Beach Gardens, FL 33418-3778
Phone (561) 775-7775

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME076350FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Familyhealthcare,PA Family Medicine CurrentSince Jan 1, 2005 Accepting new patients
Jupiter Concierge Family Practice Family Medicine Past Accepting new patients
New Age Dermatology Inc PastSince Jan 1, 2005 Accepting new patients

Locations

1002 S Old Dixie Hwy
Ste 306
Jupiter, FL 33458
Phone (561) 743-0005

4600 Military Trl
Ste 115
Jupiter, FL 33458
Phone (561) 776-5252

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFCHBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDDIBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDDIBA/Endpoint/BDDIBA

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1003835604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRL",
            "address_2": "STE #115",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584810",
            "telephone_number": "561-776-5252",
            "fax_number": "561-776-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRL",
            "address_2": "STE #115",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584810",
            "telephone_number": "561-776-5252",
            "fax_number": "561-776-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCIA",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME076350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.