NPIMap

Individual provider Active NPI

James L. Delgadillo, D.O.

  • Internal Medicine Physician
  • Eau Claire, WI
National Provider Identifier
1619258019
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57324 Issued in WI
Practice address
2009 Ohm Ave
Eau Claire, WI 54701-4616
Phone
(715) 577-8234
NPI assigned
Aug 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T-2199 MS
Internal Medicine Physician 207R00000X DOST 27 TN
Internal Medicine Physician 207R00000X 57324 WI Primary

Addresses

Primary practice location

2009 Ohm Ave
Eau Claire, WI 54701-4616

Mailing address

2009 Ohm Ave
Eau Claire, WI 54701-4616
Phone (715) 577-8234

Other practice location 1

2655 County Highway I
Chippewa Falls, WI 54729-1423
Phone (715) 726-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20180820000416 MS Practitioner - Internal Medicine 6305092263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Kansas City University of Physicians and Surgeons, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Mississippi Primary Health Care Inc 27 clinicians

Practice addresses (Care Compare)

15921 Boundary Dr
Ashland, MS 38603-7740
Phone (662) 224-8951

15931 Boundary Dr
Ashland Multispecialty Telehealth
Ashland, MS 38603-7740
Phone (662) 502-3149

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
  • North Mississippi Medical Ctr HHA Home health agency, Tupelo, MS, CCN 257002
  • Baptist Memorial Hospital Booneville Hospital, Booneville, MS, CCN 250044
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-2199MSMDInternal Medicine Physician
DOST 27TNMDInternal Medicine Physician
57324WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Primary Health Care, Inc. CurrentSince May 9, 2018 Accepting new patients
North Mississippi Primary Health Care, Inc. CurrentSince May 9, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: james.delgadillo.1@28179.direct.athenahealth.com

Organizations & group practices 11

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 5

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1619258019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 OHM AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014616",
            "telephone_number": "715-577-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 OHM AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014616",
            "telephone_number": "715-577-8234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 County Highway I",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547291423",
            "country_code": "US",
            "telephone_number": "715-726-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGADILLO",
        "first_name": "JAMES",
        "middle_name": "L.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "T-2199",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "DOST 27",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "57324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.