Individual provider Active NPI

William F. Deluca Jr., M.D.

  • Plastic Surgery Physician
  • Albany, NY
National Provider Identifier
1235104183
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
142157-01 Issued in NY
Practice address
5 Ulenski Dr
Albany, NY 12205-1103
Phone
(518) 724-2444
Fax
(518) 724-2445
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Plastic Surgery Physician 208200000X 142157-01 NY Primary

Addresses

Primary practice location

5 Ulenski Dr
Albany, NY 12205-1103

Mailing address

5 Ulenski Dr
Albany, NY 12205-1103
Phone (518) 724-2444

Other practice location 1

711 Troy Schenectady Rd
Suite 123
Latham, NY 12110-2442
Phone (518) 724-2444

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103001045 NY Practitioner - Plastic and Reconstructive Surgery 5294764577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Albany Medical College of Union University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Region Cosmetic Surgery LLCGroup PAC ID 6507247004, 2 clinicians

Practice addresses (Care Compare)

5 Ulenski Dr
Albany, NY 12205-1103
Phone (518) 724-2444

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision75
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
106576NYMDSocial Worker
142157-01NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Region Cosmetic Surgery, LLC Plastic Surgery CurrentSince Jul 1, 2022 Accepting new patients
Arbind Kumar Medical Services, PC PastSince Jul 16, 2003 Accepting new patients

Locations

5 Ulenski Dr
Albany, NY 12205
Phone (518) 724-2444

Organizations & group practices 2

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1235104183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ULENSKI DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051103",
            "telephone_number": "518-724-2444",
            "fax_number": "518-724-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ULENSKI DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051103",
            "telephone_number": "518-724-2444",
            "fax_number": "518-724-2445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Troy Schenectady Rd",
            "address_2": "Suite 123",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121102442",
            "country_code": "US",
            "telephone_number": "518-724-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "WILLIAM",
        "middle_name": "F.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "142157-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.