Individual provider Active NPI

Pierre Edouard De Delva, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Jackson, MS
National Provider Identifier
1043294432
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
21552 Issued in MS
Practice address
971 Lakeland Dr Ste 220
Jackson, MS 39216-4643
Phone
(601) 200-2780
NPI assigned
Nov 30, 2005
Last updated
May 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD441215 PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 21552 MS Primary

Addresses

Primary practice location

971 Lakeland Dr Ste 220
Jackson, MS 39216-4643

Mailing address

2500 N State St
University of Mississippi Medical Center
Jackson, MS 39216-4500
Phone (601) 984-5170

Other practice location 1

2500 N State St
University of Mississippi Medical Center
Jackson, MS 39216-4500
Phone (601) 984-5170

Other practice location 2

1225 N State ST
Jackson, MS 39202-2064
Phone (601) 968-5003

Other practice location 3

501 Marshall St Ste 104
Jackson, MS 39202-1663
Phone (601) 969-6404

Other identifiers 1

IdentifierTypeStateIssuer
P01195517OtherMSRAILROAD MEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110824000308 MS Practitioner - General SurgeryPractitioner - Thoracic Surgery 6305028747 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery
Education
Emory University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

106 Highland Way
Madison, MS 39110-6933

1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-6441

326 Commerce Ctr Dr
Ridgeland, MS 39157-1216
Phone (601) 815-2005

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-3100

971 Lakeland Dr
Jackson, MS 39216-4643
Phone (601) 200-5955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as apm
Quality
73.43
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Ms CurrentSince Nov 1, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 1, 2012 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 1, 2012 Accepting new patients
St Dominic Medical Associates LLC CurrentSince Feb 1, 2021 Accepting new patients
St. Dominic Medical Associates LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
St. Dominic Medical Associates LLC CurrentSince Feb 1, 2021 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Nov 1, 2025 Accepting new patients
St Dominic Medical Associates LLC Past Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

2500 N State St
Rm 2525
Jackson, MS 39216
Phone (601) 984-1530

501 Marshall St
Ste 104
Jackson, MS 39202
Phone (601) 973-4541

971 Lakeland Dr
Ste 657
Jackson, MS 39216
Phone (601) 200-2780

106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: pdedelva10016@ummc.direct-ci.com

Organizations & group practices 8

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 3

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1043294432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 220",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164643",
            "telephone_number": "601-200-2780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_2": "University of Mississippi Medical Center",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-5170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 N State ST",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-968-5003",
            "fax_number": "601-974-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Marshall St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392021663",
            "country_code": "US",
            "telephone_number": "601-969-6404",
            "fax_number": "601-973-4541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE DELVA",
        "first_name": "PIERRE",
        "middle_name": "EDOUARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD441215",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MS",
            "license": "21552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01195517",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.