Active NPI
Luis A Delfin, MD
- Cardiovascular Disease Physician
- Inverness, FL
National Provider Identifier
1104809607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME44436
- Practice address
- 308 W Highland Blvd
Inverness, FL 34452-4716 - Phone
- (352) 726-8353
- Fax
- (352) 726-5038
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME44436 | FL | Primary |
Addresses
Primary practice location
308 W Highland Blvd
Inverness, FL 34452-4716
Mailing address
308 W Highland Blvd
Inverness, FL 34452-4716
Phone (352) 726-8353
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060036693 | Other | FL | MEDICARE RR |
| 252932700 | Medicaid | FL | |
| 77940 | Other | FL | BCBS OF FL GROUP ID |
| ME0044436 | Other | FL | STATE LICENSE NUMBER |
| 77940 | Other | FL | MEDICARE GROUP ID |
| 11001397 | Other | FL | CAQH |
| 28524 | Other | FL | BCBS OF FL |
| FL0009086 | Other | FL | CHAMPUS/TRICARE |
| 0163912 | Other | FL | CIGNA |
| 269859500 | Other | FL | MEDICAID GROUP |
| CF1416 | Other | FL | MEDICARE RR GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME44436 | FL | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1104809607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 W HIGHLAND BLVD",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524716",
"telephone_number": "352-726-8353",
"fax_number": "352-726-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 W HIGHLAND BLVD",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524716",
"telephone_number": "352-726-8353",
"fax_number": "352-726-5038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELFIN",
"first_name": "LUIS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME44436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "060036693",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252932700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL GROUP ID",
"identifier": "77940",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "ME0044436",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID",
"identifier": "77940",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11001397",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "28524",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "FL0009086",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0163912",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "269859500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR GROUP",
"identifier": "CF1416",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Inverness, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.