Individual provider Active NPI

Mario F Deluca, HIS

  • Hearing Instrument Specialist
  • Menomonee Falls, WI
National Provider Identifier
1245047372
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2112-60 Issued in WI
Practice address
N87W16459 Appleton Ave Ste B
Menomonee Falls, WI 53051-2888
Phone
(262) 293-2592
Fax
(262) 501-4599
NPI assigned
Dec 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2112-60 WI Primary

Addresses

Primary practice location

N87W16459 Appleton Ave Ste B
Menomonee Falls, WI 53051-2888

Mailing address

N87W16459 Appleton Ave Ste B
Menomonee Falls, WI 53051-2888
Phone (262) 293-2592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2112-60WIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1245047372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N87W16459 APPLETON AVE STE B",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512888",
            "telephone_number": "262-293-2592",
            "fax_number": "262-501-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N87W16459 APPLETON AVE STE B",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512888",
            "telephone_number": "262-293-2592",
            "fax_number": "262-501-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "MARIO",
        "middle_name": "F",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "2112-60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.