NPIMap

Individual provider Active NPI

Robert Charles Deluca, D.O.

  • Family Medicine Physician
  • Eastland, TX
National Provider Identifier
1295729739
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G8076 Issued in TX
Practice address
500 W Plummer St
Eastland, TX 76448-2629
Phone
(254) 629-3393
Fax
(254) 629-3392
NPI assigned
Sep 9, 2005
Reactivated
Mar 30, 2006
Last updated
Jul 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G8076 TX Primary

Addresses

Primary practice location

500 W Plummer St
Eastland, TX 76448-2629

Mailing address

500 W Plummer St
Eastland, TX 76448-2629
Phone (254) 629-3393

Other identifiers 2

IdentifierTypeStateIssuer
110572801MedicaidTX
00GR47OtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521000468 TX Practitioner - Family Practice 1355332909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Deluca DO PAGroup PAC ID 9739170382, 4 clinicians

Practice addresses (Care Compare)

500 W Plummer St
Eastland, TX 76448-2629
Phone (254) 629-3393

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.82 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision38
Removal of skin lesions38
Removal of nail tissue19
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Deluca, D.O,, P.a. Family Medicine CurrentSince Dec 1, 2003 Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Premier Health Care Center, LLC Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients

Locations

500 W Plummer St
Eastland, TX 76448
Phone (254) 629-3393

Organizations & group practices 6

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 11

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1295729739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W PLUMMER ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482629",
            "telephone_number": "254-629-3393",
            "fax_number": "254-629-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W PLUMMER ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482629",
            "telephone_number": "254-629-3393",
            "fax_number": "254-629-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2009-07-06",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110572801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00GR47",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastland, TX

Sources for this page

Verify at the official NPI Registry.