Individual provider Active NPI

John Deluca, M.D.

  • Internal Medicine Physician
  • North Palm Beach, FL
National Provider Identifier
1407050024
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME102199 Issued in FL
Practice address
11951 US Highway 1 Ste 105
North Palm Beach, FL 33408-2804
Phone
(561) 630-8722
NPI assigned
Jun 14, 2007
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME102199 FL Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X ME102199 FL

Addresses

Primary practice location

11951 US Highway 1 Ste 105
North Palm Beach, FL 33408-2804

Mailing address

11951 US Highway 1 Ste 105
North Palm Beach, FL 33408-2804
Phone (561) 630-8722

Other practice location 1

5130 Linton Blvd Ste H3&4
Delray Beach, FL 33484-6596
Phone (561) 819-6125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100329000851 FL Practitioner - Internal MedicinePractitioner - Physical Medicine and Rehabilitation 5890821854 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medx Back Pain Clinics. Inc. Current Accepting new patients
Greenacres Health & Rehab LLC CurrentSince Mar 30, 2021 Accepting new patients
Health and Rehab Center of the Palm Beaches Inc Internal Medicine Current Accepting new patients
Bramic Medical and Wellness Center LLC CurrentSince Jan 1, 2023 Accepting new patients
Palm Beach Integrative Medicine Internal Medicine Past Accepting new patients

Locations

4010 S 57th Ave
Ste 101
Greenacres, FL 33463
Phone (561) 408-2169

11951 US Highway 1
Ste 105
North Palm Beach, FL 33408
Phone (561) 366-0065

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1407050024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11951 US HIGHWAY 1 STE 105",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082804",
            "telephone_number": "561-630-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11951 US HIGHWAY 1 STE 105",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082804",
            "telephone_number": "561-630-8722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5130 Linton Blvd Ste H3&4",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846596",
            "country_code": "US",
            "telephone_number": "561-819-6125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME102199",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME102199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.