Active NPI
Delvis A Celdran, M.D.
- Neurology Physician
- Port Saint Lucie, FL
National Provider Identifier
1780649541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME 95150
- Practice address
- 543 NW Lake Whitney PL
Unit 105
Port Saint Lucie, FL 34986-1604 - Phone
- (772) 335-3255
- Fax
- (772) 335-3256
- NPI assigned
- Apr 17, 2006
- Last updated
- Nov 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME 95150 | FL | Primary |
Addresses
Primary practice location
543 NW Lake Whitney PL
Unit 105
Port Saint Lucie, FL 34986-1604
Mailing address
PO Box 882229
Port Saint Lucie, FL 34988-2229
Phone (772) 335-3255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275863600 | Medicaid | FL | |
| P00418913 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
543 NW Lake Whitney Place
Suite 105
Port Saint Lucie, FL 34986-1604
Phone (772) 335-3255
Hospital & facility affiliations
- All About You Home Health Agency Inc
- Cleveland Clinic Martin North Hospital
- HCA Florida Lawnwood Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 95150 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambulatory Diagnostic Center Inc | Current | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- celdran.delvis.001.0090251@dcpa.meditab.direct-ci.com
Organizations & group practices 2
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.
-
- Neurology Physician
- Port Saint Lucie, FL
- NPI 1871688879
-
dba Ponce De Leon Diagnostic Services Ltd
- Mammography Clinic/Center
- Coral Gables, FL
- NPI 1407957434
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Boca Raton, FL
- NPI 1700067683
-
dba HCA Florida Lawnwood Hospital
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226534400000",
"number": "1780649541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 882229",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349882229",
"telephone_number": "772-335-3255",
"fax_number": "772-335-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 NW LAKE WHITNEY PL",
"address_2": "UNIT 105",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349861604",
"telephone_number": "772-335-3255",
"fax_number": "772-335-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELDRAN",
"first_name": "DELVIS",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2008-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME 95150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275863600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00418913",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.