Active NPI
Ilana Juliett Deluca, M.D.
- Dermatology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 279391
- Practice address
- 18 Stuyvesant Oval Apt 12B
New York, NY 10009-2251 - Phone
- (917) 678-4212
- NPI assigned
- Apr 5, 2011
- Last updated
- Aug 16, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 279391 | NY | Primary |
Addresses
Primary practice location
18 Stuyvesant Oval Apt 12B
New York, NY 10009-2251
Mailing address
18 Stuyvesant Oval Apt 12B
New York, NY 10009-2251
Phone (917) 678-4212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-2600
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 192 |
| Skin biopsy | 94 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Derm, Inc | Dermatology | Current | Accepting new patients |
| Medical Faculty Associates, Inc | Dermatology | Current | Accepting new patients |
| Trihealth H LLC | Dermatology | Past | Accepting new patients |
Locations
3640 Lomita Blvd
Ste 301
Torrance, CA 90505
Phone (310) 405-0693
2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024
2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBBCCD
- ideluca19569@gwmfa.direct-ci.com
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439683200000",
"number": "1174812614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 STUYVESANT OVAL APT 12B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100092251",
"telephone_number": "917-678-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 STUYVESANT OVAL APT 12B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100092251",
"telephone_number": "917-678-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCA",
"first_name": "ILANA",
"middle_name": "JULIETT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2015-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "279391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2015; 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.