Individual provider Active NPI

Matthew J Deluca, CRNA

  • Certified Registered Nurse Anesthetist
  • Pueblo, CO
National Provider Identifier
1689339376
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN.0997148-CRNA Issued in CO
Practice address
400 W 16TH St, Pueblo
Pueblo, CO 81003
Phone
(719) 584-4000
NPI assigned
Nov 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN.0997148-CRNA CO Primary
Certified Registered Nurse Anesthetist 367500000X 328950 AZ

Addresses

Primary practice location

400 W 16TH St, Pueblo
Pueblo, CO 81003

Mailing address

15825 E Sunflower Dr
Fountain Hills, AZ 85268-3636

Other practice location 1

12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220110002107 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335531094 Reassigns benefits to 3 organizations
I20251211001194 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335531094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Ohio University, College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians
Hospitalist Medicine Physicians of Colorado - Denver PCGroup PAC ID 3577073402, 90 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
Valley Anesthesiology Consultants IncGroup PAC ID 4880591841, 284 clinicians

Practice addresses (Care Compare)

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (303) 438-3999

1375 E 19TH Ave
Saint Joseph Hospital
Denver, CO 80218-1114
Phone (303) 812-6400

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 425-3261

Hospital & facility affiliations

  • Cobre Valley Regional Medical Center Hospital, Globe, AZ, CCN 031314
  • Parkview Medical Center, Inc Hospital, Pueblo, CO, CCN 060020
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • The Medical Center of Aurora & South Hospital Hospital, Aurora, CO, CCN 060100
  • Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
328950AZMDCertified Registered Nurse Anesthetist
APN.0997148-CRNACOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Colorado - Denver PC Anesthesiology CurrentSince Aug 15, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Pueblo Pathology Group, PC Current Accepting new patients
Poudre Valley Medical Group, LLC Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
US Anesthesia Partners of Colorado Inc. Anesthesiology CurrentSince Dec 12, 2024 Accepting new patients
Valley Anesthesiology Consultants, Inc. Anesthesiology CurrentSince Nov 1, 2025 Accepting new patients

Locations

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

58 Club Manor Dr
Pueblo, CO 81008
Phone (719) 584-4045

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 6

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 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1689339376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15825 E SUNFLOWER DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 16TH ST, PUEBLO",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81003",
            "telephone_number": "719-584-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12605 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452545",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-08",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0997148-CRNA",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "328950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.