Individual provider Active NPI

Joseph A Deluca, MD

  • Internal Medicine Physician
  • El Dorado, AR
National Provider Identifier
1417969478
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-4974 Issued in AR
Practice address
620 W Grove St Ste 202
El Dorado, AR 71730-4425
Phone
(870) 234-7676
Fax
(870) 562-2560
NPI assigned
Aug 11, 2006
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 E4974 AR
Internal Medicine Physician 207R00000X E-4974 AR Primary

Addresses

Primary practice location

620 W Grove St Ste 202
El Dorado, AR 71730-4425

Mailing address

620 W Grove St Ste 202
El Dorado, AR 71730-4425
Phone (870) 234-7676

Other practice location 1

353 Cash Rd SW
Camden, AR 71701-3704
Phone (870) 836-8101

Other identifiers 6

IdentifierTypeStateIssuer
7906846OtherAETNA
771084601OtherARBREASTCARE
06080014300OtherQUALCHOICE
0000268009402OtherUNITED HEALTH CARE
1622343001MedicaidAR
P00340667OtherMEDICARE RAILROAD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joseph.deluca.2@2218.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20061025000752 AR Practitioner - Internal Medicine 9335146844 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Practice addresses (Care Compare)

700 W Grove St
El Dorado, AR 71730-4416
Phone (888) 264-0330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4974ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCC of El Dorado LLC CurrentSince Nov 10, 2021 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Mar 1, 2024 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Mar 1, 2024 Accepting new patients
Concord Medical Group PLLC CurrentSince Jul 19, 2024 Accepting new patients
South Arkansas Physician Group LLC Internal Medicine CurrentSince Nov 7, 2023 Accepting new patients
South Arkansas Physician Services LLC Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Arkansas Health Group CurrentSince Sep 1, 2006 Accepting new patients
University of Arkansas for Medical Sciences Internal Medicine Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Apr 22, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jul 19, 2024 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 15, 2002 Accepting new patients
Ess of El Dorado, LLC CurrentSince Nov 10, 2021 Accepting new patients
Arkansas Health Group CurrentSince Sep 1, 2006 Accepting new patients

Locations

353 Cash Rd SW
Camden, AR 71701
Phone (870) 836-8101

620 W Grove St
Ste 201
El Dorado, AR 71730
Phone (870) 875-5500

620 W Grove St
Ste 202
El Dorado, AR 71730
Phone (870) 863-2420

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

1801 Martin Luther King Jr Dr
Helena, AR 72342
Phone (870) 338-5800

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

1601 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7611

Interoperability endpoints

  • Direct secure messaging: joseph.deluca.2@2218.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1417969478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W GROVE ST STE 202",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304425",
            "telephone_number": "870-234-7676",
            "fax_number": "870-562-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W GROVE ST STE 202",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304425",
            "telephone_number": "870-234-7676",
            "fax_number": "870-562-2560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 Cash Rd SW",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "AR",
            "postal_code": "717013704",
            "country_code": "US",
            "telephone_number": "870-836-8101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E4974",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-4974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7906846",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREASTCARE",
            "identifier": "771084601",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "06080014300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0000268009402",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1622343001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00340667",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.deluca.2@2218.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "amrdirectaddress",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "620 W Grove St Ste 202",
            "city": "El Dorado",
            "state": "AR",
            "country_code": "US",
            "postal_code": "717304425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.