Individual provider Active NPI

Fred Delucia, DPM

  • Foot & Ankle Surgery Podiatrist
  • Valhalla, NY
National Provider Identifier
1225299175
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
AN006347 Issued in NY
Practice address
465 Columbus Ave Ste 140
Valhalla, NY 10595-1376
Phone
(914) 290-6360
Fax
(914) 221-4750
NPI assigned
Jun 23, 2008
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X AN006347 NY Primary

Addresses

Primary practice location

465 Columbus Ave Ste 140
Valhalla, NY 10595-1376

Mailing address

465 Columbus Ave Ste 140
Valhalla, NY 10595-1376
Phone (914) 290-6360

Other practice location 1

7 Christopher St
New York, NY 10014-3518
Phone (212) 242-7718

Other practice location 2

3003 New Hyde Park Rd
Suite 312
New Hyde Park, NY 11042-1214
Phone (516) 492-3515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110428000253 NY Practitioner - Podiatry 2163607524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LGD Podiatric Surgical PCGroup PAC ID 8921243890, 4 clinicians
Boltrope Podiatry Ny PLLCGroup PAC ID 5496135329, 32 clinicians

Practice addresses (Care Compare)

3003 New Hyde Park Rd
Suite 312
New Hyde Park, NY 11042-1214
Phone (516) 492-3515

465 Columbus Ave
Suite 140
Valhalla, NY 10595-1376
Phone (914) 290-6360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
93.52
Promoting interoperability
86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue92
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AN006347NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
LGD Podiatric Surgical, PC Foot & Ankle Surgery CurrentSince May 9, 2013 Accepting new patients
Cur Alta Medical Ny PLLC Sports Medicine CurrentSince Dec 16, 2024 Accepting new patients
West Village Podiatric Surgical PC Foot & Ankle Surgery CurrentSince Feb 1, 2014 Accepting new patients
Cur Alta Medical Ny PLLC Foot & Ankle Surgery CurrentSince Dec 16, 2024 Accepting new patients
Westchester Podiatric Surgical, PC Sports Medicine CurrentSince Aug 1, 2022 Accepting new patients
Saccomanno Podiatry PLLC PastSince Aug 4, 2024 Accepting new patients
Bimc Faculty Practice Past Accepting new patients

Locations

3117 Ditmars Blvd
Ste A
Astoria, NY 11105
Phone (718) 274-4040

165 Nassau Ave
Brooklyn, NY 11222
Phone (718) 389-4404

111 Smithtown Byp
Ste 103
Hauppauge, NY 11788
Phone (631) 724-3338

111 Main St
Nanuet, NY 10954
Phone (845) 623-5863

3003 New Hyde Park Rd
Ste 312
New Hyde Park, NY 11042
Phone (516) 492-3515

7 Christopher St
New York, NY 10014
Phone (212) 242-7718

100 Manetto Hill Rd
Ste 103
Plainview, NY 11803
Phone (516) 652-4027

465 Columbus Ave
Ste 140
Valhalla, NY 10595
Phone (866) 332-7691

8612 Jamaica Ave
Woodhaven, NY 11421
Phone (718) 846-7872

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: faasny.freddelucia@153848.advancedmd-direct.com
  • Direct secure messaging: fdelucia69105@northwell.direct-ci.com

Organizations & group practices 7

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 1

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1225299175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 COLUMBUS AVE STE 140",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951376",
            "telephone_number": "914-290-6360",
            "fax_number": "914-221-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 COLUMBUS AVE STE 140",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951376",
            "telephone_number": "914-290-6360",
            "fax_number": "914-221-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Christopher St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100143518",
            "country_code": "US",
            "telephone_number": "212-242-7718",
            "fax_number": "212-242-7719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3003 New Hyde Park Rd",
            "address_2": "Suite 312",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110421214",
            "country_code": "US",
            "telephone_number": "516-492-3515",
            "fax_number": "516-492-3516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELUCIA",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "AN006347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.