Individual provider Active NPI

Ilana Juliett Deluca, M.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1174812614
Registry record updated Aug 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
279391 Issued in NY
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181008001031 DC Practitioner - Dermatology 4082924410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians

Practice addresses (Care Compare)

2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-2600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions192
Skin biopsy94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Derm, Inc Dermatology CurrentSince Jul 12, 2020 Accepting new patients
Medical Faculty Associates, Inc Dermatology CurrentSince Sep 7, 2018 Accepting new patients
Trihealth H LLC Dermatology PastSince Sep 1, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBBCCD
  • Direct secure messaging: 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

Verify at the official NPI Registry.