Individual provider Active NPI

Connie M Dela'O, M.D.

  • Surgery Physician
  • Morgantown, WV
National Provider Identifier
1760648703
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
U7410 Issued in TX
Practice address
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone
(304) 598-4800
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X U7410 TX
Surgical Critical Care Physician 2086S0102X 27615 WV
Student in an Organized Health Care Education/Training Program 390200000X NC
Surgery Physician 208600000X U7410 TX Primary

Addresses

Primary practice location

1 Medical Center Dr
Morgantown, WV 26506-1200

Mailing address

3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314

Other practice location 1

517 Moye Blvd
ECU Physicians Trauma Surgery
Greenville, NC 27834-2849
Phone (252) 847-4299

Other practice location 2

1 Hospital Dr Ste 4200
Asheville, NC 28801-4550
Phone (828) 213-1994

Other practice location 3

705 E Marshall Ave Ste 5000
Longview, TX 75601-5660
Phone (903) 315-4400

Other identifiers 3

IdentifierTypeStateIssuer
1760648703MedicaidNC
1760648703MedicaidWV
19KJXOtherNCBCBS OF NC

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address cdelao107241@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address cdelao107241@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address cdelao107241@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160825001824 NC Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 6901023241
I20231114003692 TX Practitioner - General SurgeryPractitioner - General Practice 6901023241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Post Acute Care Physicians of Texas, PLLCGroup PAC ID 0042447682, 41 clinicians

Practice addresses (Care Compare)

1201 Clarks Dr
Abilene, TX 79602-3146
Phone (877) 866-7123

17218 Preston Rd
Suite 2000
Dallas, TX 75252-4018
Phone (469) 518-8472

2003 N Edwards Ave
Mount Pleasant, TX 75455-2010
Phone (877) 866-7123

2131 Alpine Rd
Longview, TX 75601-3402
Phone (877) 866-7123

2700 S Henderson Blvd
Kilgore, TX 75662-4033
Phone (877) 866-7123

411 Springcreek Rd
Grand Saline, TX 75140-1944
Phone (903) 962-4226

5915 Elysian Fields Rd
Marshall, TX 75672-2083
Phone (877) 866-7123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue2388
Removal of skin lesions53
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N/ANCMDDiagnostic Radiology Physician
U7410TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Hospitals Inc Current Accepting new patients
Vidant Medical Group LLC CurrentSince Jul 14, 2017 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 20, 2023 Accepting new patients
Vohra Post Acute Care Physicians of Texas, PLLC CurrentSince Nov 4, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 20, 2023 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

517 Moye Blvd
Fl 2
Greenville, NC 27834
Phone (252) 744-0766

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

517 Moye Blvd
Greenville, NC 27834
Phone (252) 744-2335

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1201 Clarks Dr
Abilene, TX 79602
Phone (325) 670-9185

3830 Mustang Rd
Alvin, TX 77511
Phone (281) 585-8484

401 W Arbrook Blvd
Arlington, TX 76014
Phone (817) 466-3094

5800 W Baker Rd
Baytown, TX 77520
Phone (281) 424-4541

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

17218 Preston Rd
Ste 2000
Dallas, TX 75252
Phone (469) 518-8472

1101 Reba Macentire Ln
Denison, TX 75020
Phone (903) 415-7022

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

545 E John Carpenter Fwy
Ste 300
Irving, TX 75062
Phone (214) 356-8072

705 E Marshall Ave
Ste 5000
Longview, TX 75601
Phone (903) 315-1970

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: cdelao343458@christushealth.direct-ci.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1760648703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE STE 250",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "304-598-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 Moye Blvd",
            "address_2": "ECU Physicians Trauma Surgery",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342849",
            "country_code": "US",
            "telephone_number": "252-847-4299",
            "fax_number": "252-847-8208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hospital Dr Ste 4200",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014550",
            "country_code": "US",
            "telephone_number": "828-213-1994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 E Marshall Ave Ste 5000",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015660",
            "country_code": "US",
            "telephone_number": "903-315-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELA'O",
        "first_name": "CONNIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "U7410",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "WV",
            "license": "27615",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "U7410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760648703",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760648703",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "19KJX",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdelao107241@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdelao107241@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdelao107241@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 W Berkeley St",
            "city": "Uniontown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "154015514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.