NPIMap

Individual provider Active NPI

Thomas J Deluca, DO

  • Internal Medicine Physician
  • Rumford, ME
National Provider Identifier
1154326387
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1450 Issued in ME
Practice address
431 Franklin St
Rumford, ME 04276-2100
Phone
(207) 364-7831
Fax
(207) 369-9467
NPI assigned
Jun 15, 2005
Reactivated
Mar 24, 2006
Last updated
Feb 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1450 ME Primary

Addresses

Primary practice location

431 Franklin St
Rumford, ME 04276-2100

Mailing address

431 Franklin St
Rumford, ME 04276-2100
Phone (207) 364-7831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20050720000790 ME Practitioner - Internal Medicine 3779510896 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

146 Weld St
Dixfield, ME 04224-9614
Phone (207) 795-7584

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.94 of 100Reported as group
Quality
47.72
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1450MEMDClinical Psychologist
1451MEMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rumford Hospital CurrentSince Jun 15, 1994 Accepting new patients
Rumford Community Family Health Center, Inc. Current Accepting new patients
Rumford Community Family Health Center, Inc. CurrentSince Jun 15, 1994 Accepting new patients
Rumford Hospital CurrentSince Jun 15, 1994 Accepting new patients

Locations

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

430 Franklin St
Rumford, ME 04276
Phone (207) 369-0146

431 Franklin St
Rumford, ME 04276
Phone (207) 364-7831

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, 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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1154326387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 FRANKLIN ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762100",
            "telephone_number": "207-364-7831",
            "fax_number": "207-369-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 FRANKLIN ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762100",
            "telephone_number": "207-364-7831",
            "fax_number": "207-369-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2014-02-28",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "1450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rumford, ME

Sources for this page

Verify at the official NPI Registry.