Active NPI
Adeline Mae Deladisma, MD
- Surgery Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME134033
- Practice address
- 400 Pinellas St Ste 200
Clearwater, FL 33756-3312 - Phone
- (727) 462-2131
- Fax
- (727) 266-4914
- NPI assigned
- Mar 30, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D72711 | MD | |
| Surgery Physician | 208600000X | 01071770A | IN | |
| Surgery Physician | 208600000X | 00498 | GA | |
| Surgery Physician | 208600000X | ME134033 | FL | Primary |
Addresses
Primary practice location
400 Pinellas St Ste 200
Clearwater, FL 33756-3312
Mailing address
2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 281-9065
Other practice location 1
11141 Parkview Plaza Dr
Suite 305
Fort Wayne, IN 46845-1713
Phone (260) 484-9611
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97509402 | Other | MD | BCBS |
| V8080011 | Other | DC | BCBS |
| V8380011 | Other | DC | BCBS |
| V8740011 | Other | DC | BCBS |
| 045199100 | Medicaid | MD | |
| 97509401 | Other | MD | BCBS |
| 97509403 | Other | MD | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Adeline.DeladismaMD@direct.mybaycare.org | Direct | BayCare Medical Group, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- General Surgery
- Education
- Pennsylvania State University College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Pinellas St
Suite 200
Clearwater, FL 33756-3312
Phone (727) 462-2131
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 51 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00498 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Surgery | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Surgery | Current | Accepting new patients |
| Associated Surgeons and Physicians, LLC | Past | Accepting new patients | |
| Indiana Surgical Specialists, LLC | Surgery | Past | Accepting new patients |
Locations
2995 Drew St
Clearwater, FL 33759
Phone (727) 315-7496
400 Pinellas St
Ste 200
Clearwater, FL 33756
Phone (727) 462-2131
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
2102 Trinity Oaks Blvd
#202
Trinity, FL 34655
Phone (727) 315-6775
2102 Trinity Oaks Blvd
Ste 205
Trinity, FL 34655
Phone (727) 773-9793
Interoperability endpoints
- adeline.deladismamd@direct.mybaycare.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
Surgery
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Surgery Physician
- Jacksonville, FL
- NPI 1588824858
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Foot & Ankle Surgery Podiatrist
- Auburn, IN
- NPI 1649720301
-
- Surgery Physician
- Fort Wayne, IN
- NPI 1528044625
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Largo, FL
- NPI 1033117007
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
- General Acute Care Hospital
- New Port Richey, FL
- NPI 1437135811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1194845388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-281-9065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PINELLAS ST STE 200",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563312",
"telephone_number": "727-462-2131",
"fax_number": "727-266-4914"
}
],
"practiceLocations": [
{
"address_1": "11141 Parkview Plaza Dr",
"address_2": "Suite 305",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451713",
"country_code": "US",
"telephone_number": "260-484-9611",
"fax_number": "260-484-1004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELADISMA",
"first_name": "ADELINE",
"middle_name": "MAE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D72711",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01071770A",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "00498",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME134033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "97509402",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "V8080011",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "V8380011",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "V8740011",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045199100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "97509401",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "97509403",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Adeline.DeladismaMD@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "400 Pinellas St Ste 200",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337563312",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.