NPIMap

Individual provider Active NPI

William Arthur Deluccia Jr., M.D.

  • Cardiovascular Disease Physician
  • Elmira, NY
National Provider Identifier
1568493112
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
169484 Issued in NY
Practice address
600 Ivy St Ste 205
Elmira, NY 14905-1627
Phone
(607) 737-4333
Fax
(607) 737-4271
NPI assigned
Jul 5, 2006
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 169484 NY Primary
Cardiovascular Disease Physician 207RC0000X MD052034L PA

Addresses

Primary practice location

600 Ivy St Ste 205
Elmira, NY 14905-1627

Mailing address

571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050

Other identifiers 3

IdentifierTypeStateIssuer
001228900MedicaidPA
01182970MedicaidNY
P00047277OtherNYRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100825001149 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4789788910 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
State University of Ny Upstate Medical University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arnot Medical Services PLLCGroup PAC ID 0840450748, 91 clinicians
Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians

Practice addresses (Care Compare)

123 Conhocton St
Suite 103
Corning, NY 14830-2959
Phone (607) 438-1200

600 Roe Ave
Elmira, NY 14905-1629
Phone 60773741004118

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
55.31
Promoting interoperability
99
Improvement activities
40
Cost
76.8

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
46.76
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
169484NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arnot Ogden Medical Center CurrentSince Jan 6, 2020 Accepting new patients
Ira Davenport Memorial Hospital, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Ira Davenport Memorial Hospital, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Arnot Ogden Medical Center CurrentSince Jan 6, 2020 Accepting new patients
Ira Davenport Memorial Hospital, Inc. Current Accepting new patients
Chemung Medical Services PC Cardiovascular Disease PastSince Nov 29, 2020 Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients

Locations

7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500

200 Madison Ave
Ste 2B
Elmira, NY 14901
Phone (607) 732-1310

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

602 Ivy St
Fl 2
Elmira, NY 14905
Phone (607) 735-4633

Interoperability endpoints

  • Direct secure messaging: wdeluccia26595@direct.xtensys.com
  • Direct secure messaging: william.deluccia@arn.eclinicaldirectplus.com

Organizations & group practices 8

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 7

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1568493112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD FL 2",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013230",
            "telephone_number": "607-271-2050",
            "fax_number": "607-873-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 IVY ST STE 205",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051627",
            "telephone_number": "607-737-4333",
            "fax_number": "607-737-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCCIA",
        "first_name": "WILLIAM",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "169484",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD052034L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001228900",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01182970",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00047277",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.