Active NPI
Amadeo Jorge De Luca-Westrate, MD
- Internal Medicine Physician
- Bremerton, WA
National Provider Identifier
1831552629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A151517
- Practice address
- Naval Hospital Bremerton
1 Boone Rd
Bremerton, WA 98312 - Phone
- (360) 475-4180
- NPI assigned
- Mar 30, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A151517 | CA | Primary |
Addresses
Primary practice location
Naval Hospital Bremerton
1 Boone Rd
Bremerton, WA 98312
Mailing address
Naval Hospital Bremerton
1 Boone Rd
Bremerton, WA 98312
Phone (360) 475-4180
Other practice location 1
Naval Hospital Bremerton
1 Boone Rd
Bremerton, WA 98312
Phone (301) 295-9283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200713001580 | CA | Order and Referring Only - Internal Medicine | 2769805548 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A151517 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1831552629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL BREMERTON",
"address_2": "1 BOONE RD",
"city": "BREMERTON",
"state": "WA",
"postal_code": "98312",
"telephone_number": "360-475-4180",
"fax_number": "360-475-4825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL BREMERTON",
"address_2": "1 BOONE RD",
"city": "BREMERTON",
"state": "WA",
"postal_code": "98312",
"telephone_number": "360-475-4180"
}
],
"practiceLocations": [
{
"address_1": "Naval Hospital Bremerton",
"address_2": "1 Boone Rd",
"address_purpose": "LOCATION",
"city": "Bremerton",
"state": "WA",
"postal_code": "98312",
"country_code": "US",
"telephone_number": "301-295-9283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LUCA-WESTRATE",
"first_name": "AMADEO",
"middle_name": "JORGE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-30",
"last_updated": "2023-05-11",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A151517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.