Individual provider Active NPI

Valerie Kai Deluca, D.O.

  • Internal Medicine Physician
  • Eastland, TX
National Provider Identifier
1609160472
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P5616 Issued in TX
Practice address
500 West Plummer
Eastland, TX 76448
Phone
(254) 629-3393
Fax
(254) 629-2851
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P5616 TX Primary

Addresses

Primary practice location

500 West Plummer
Eastland, TX 76448

Mailing address

500 West Plummer
Eastland, TX 76448
Phone (254) 629-3393

Other identifiers 2

IdentifierTypeStateIssuer
339802601MedicaidTX
283061401OtherTXTPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140730002563 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 4486883709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Deluca DO PAGroup PAC ID 9739170382, 4 clinicians

Practice addresses (Care Compare)

500 W Plummer St
Eastland, TX 76448-2629
Phone (254) 629-3393

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Abilene, TX, CCN 679184
  • Centerwell Home Health Home health agency, Eastland, TX, CCN 457128
  • Solaris Hospice Inc Hospice, Decatur, TX, CCN 451688
  • Eastland Memorial Hospital Hospital, Eastland, TX, CCN 671303
  • Eastland Memorial Hospital Hospital, Eastland, TX, CCN 450411
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Avir at Cisco Nursing home, Cisco, TX, CCN 675259
  • Avir at Woodlands Nursing home, Eastland, TX, CCN 675001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Aug 9, 2017 Accepting new patients
Concord Medical Group PLLC CurrentSince Aug 9, 2017 Accepting new patients
Robert Deluca, D.O,, P.a. CurrentSince Jul 7, 2014 Accepting new patients

Locations

500 W Plummer St
Eastland, TX 76448
Phone (254) 629-3393

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 3

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.

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": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1609160472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WEST PLUMMER",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "76448",
            "telephone_number": "254-629-3393",
            "fax_number": "254-629-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WEST PLUMMER",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "76448",
            "telephone_number": "254-629-3393",
            "fax_number": "254-629-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "VALERIE",
        "middle_name": "KAI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P5616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339802601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "283061401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastland, TX

Sources for this page

Verify at the official NPI Registry.