Individual provider Active NPI

Delaney Kathleen Dick, PA-C

  • Physician Assistant
  • Chesterfield, MO
National Provider Identifier
1023482973
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2016004110 Issued in MO
Practice address
111 Saint Lukes Center Dr BLDG B
Chesterfield, MO 63017-3509
Phone
(314) 205-1926
NPI assigned
Nov 16, 2015
Last updated
Nov 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2016004110 MO Primary

Addresses

Primary practice location

111 Saint Lukes Center Dr BLDG B
Chesterfield, MO 63017-3509

Mailing address

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

Other practice location 1

121 Saint Lukes Center Dr Ste 305
Chesterfield, MO 63017-3519
Phone (314) 205-1926

Other names 1

  • Delaney Kathleen Regan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161228000070 MO Practitioner - Physician Assistant 3375824634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging Associates LTDGroup PAC ID 9638064942, 19 clinicians

Practice addresses (Care Compare)

232 S Woods Mill Rd
St Lukes Hosp Radiology Dept
Chesterfield, MO 63017-3417
Phone (314) 434-1500

6 McBride and Son Corp Ctr Dr
Suite 101
Chesterfield, MO 63005-1418
Phone (636) 519-7865

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Specialists of St Lukes LLC CurrentSince Jan 1, 2026 Accepting new patients
Emergency Physicians of St. Luke's, LLC Past Accepting new patients
DRS. Mera, Boesch & Kumar, LLC PastSince Aug 11, 2024 Accepting new patients

Locations

111 Saint Lukes Center Dr
Bldg B
Chesterfield, MO 63017
Phone (314) 205-1926

111 Saint Lukes Center Dr
Ste 44B
Chesterfield, MO 63017
Phone (314) 205-1926

121 Saint Lukes Center Dr
Ste 305
Chesterfield, MO 63017
Phone (314) 205-1926

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

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 1

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": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1023482973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9556 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191313",
            "telephone_number": "314-961-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SAINT LUKES CENTER DR BLDG B",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173509",
            "telephone_number": "314-205-1926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Saint Lukes Center Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630173519",
            "country_code": "US",
            "telephone_number": "314-205-1926",
            "fax_number": "314-205-1026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICK",
        "first_name": "DELANEY",
        "middle_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2016004110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELANEY",
            "last_name": "REGAN",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.