Individual provider Active NPI

Joyce Delneky, M.D.

  • Family Medicine Physician
  • Ruther Glen, VA
National Provider Identifier
1386695385
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101238125 Issued in VA
Practice address
18020 Jefferson Davis Hwy
Ruther Glen, VA 22546-2922
Phone
(804) 448-0198
Fax
(804) 448-0598
NPI assigned
May 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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 0101238125 VA Primary

Addresses

Primary practice location

18020 Jefferson Davis Hwy
Ruther Glen, VA 22546-2922

Mailing address

18020 Jefferson Davis Hwy
Ruther Glen, VA 22546-2922
Phone (804) 448-0198

Other identifiers 1

IdentifierTypeStateIssuer
010157455MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050628001459 VA Practitioner - Family Practice 3870539042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101238125VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Covenant Management Services, Inc Past Accepting new patients
Medidoctors Primary Care LLC Family Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1147564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1386695385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18020 JEFFERSON DAVIS HWY",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462922",
            "telephone_number": "804-448-0198",
            "fax_number": "804-448-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18020 JEFFERSON DAVIS HWY",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462922",
            "telephone_number": "804-448-0198",
            "fax_number": "804-448-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELNEKY",
        "first_name": "JOYCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-14",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101238125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010157455",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruther Glen, VA

Sources for this page

Verify at the official NPI Registry.