Active NPI
Richard Anthony Delucia Jr., M.D.
- Family Medicine Physician
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME076350
- Practice address
- 4600 Military TRL
Ste #115
Jupiter, FL 33458-4810 - Phone
- (561) 776-5252
- Fax
- (561) 776-5255
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255385600 | Medicaid | FL | |
| 43902 | Other | FL | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PAFairway Physical Therapy LLC
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
- Enhabit Home Health of Jupiter Medical Center
- Trilogy Home Healthcare
- Jupiter Medical Center
- Cleveland Clinic Martin North Hospital
- Good Samaritan Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME076350 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jupiter Familyhealthcare,PA | Family Medicine | Current | Accepting new patients |
| New Age Dermatology Inc | Past | Accepting new patients | |
| Jupiter Concierge Family Practice | Family Medicine | Past | Accepting new patients |
Locations
4600 Military Trl
Ste 115
Jupiter, FL 33458
Phone (561) 775-5252
1002 S Old Dixie Hwy
Ste 306
Jupiter, FL 33458
Phone (561) 743-0005
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BDDIBA/Endpoint/BDDIBA
- https://fhir4.healow.com/fhir/r4/AFCHBD
- https://fhir4.healow.com/fhir/r4/BDDIBA
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Jupiter, FL
- NPI 1366503203
Family Medicine, FL
-
- Physical Therapist
- Palm Beach Gardens, FL
- NPI 1376557090
-
- Family Medicine Physician
- Jupiter, FL
- NPI 1265593024
Family Medicine
-
- Dermatology Physician
- West Palm Beach, FL
- NPI 1962586586
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jupiter, FL
- NPI 1780635540
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
Hospital
-
- Home Health Agency
- West Palm Beach, FL
- NPI 1538598081
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255385600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "43902",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.