Active NPI
Kathryn Deluca
- Physician Assistant
- Brockton, MA
National Provider Identifier
1538906441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA100924
- Practice address
- 680 Centre St
Brockton, MA 02302-3308 - Phone
- (508) 941-7000
- NPI assigned
- Jul 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA100924 | MA | Primary |
Addresses
Primary practice location
680 Centre St
Brockton, MA 02302-3308
Mailing address
283 Saint Paul St Apt 1
Brookline, MA 02446-3541
Phone (908) 216-7341
Other practice location 1
370 Bassett Rd
North Haven, CT 06473-4201
Phone (908) 216-7341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Healthcare Medical Group Inc | Current | Accepting new patients |
Locations
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
Interoperability endpoints
- kdeluca128318@tuftsmedicine.direct-ci.com
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.
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
-
- Pediatrics Physician
- Boston, MA
- NPI 1477590511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1538906441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 SAINT PAUL ST APT 1",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463541",
"telephone_number": "908-216-7341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 CENTRE ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023308",
"telephone_number": "508-941-7000"
}
],
"practiceLocations": [
{
"address_1": "370 Bassett Rd",
"address_purpose": "LOCATION",
"city": "North Haven",
"state": "CT",
"postal_code": "064734201",
"country_code": "US",
"telephone_number": "908-216-7341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELUCA",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-09",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA100924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.