John Stephen Delucas, PA-C

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

0010-07952 Issued in NC

Practice address

5214 Market St
Wilmington, NC 28405-4067

Phone

(910) 782-3284

Fax

(910) 796-8379

NPI assigned

Jan 23, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

92.66 of 100Reported as group

Quality

86.13

Improvement activities

40

Cost

79.44

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Columbus Emergency Group LLC

  • Emergency Medicine Physician
  • Whiteville, NC
  • NPI 1588813786
  Medicare reassignment

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1902304041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 STEELE LOOP",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116208",
            "telephone_number": "205-527-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054067",
            "telephone_number": "910-782-3284",
            "fax_number": "910-796-8379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Village Rd NE",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284517414",
            "country_code": "US",
            "telephone_number": "910-782-3600",
            "fax_number": "910-371-5346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELUCAS",
        "first_name": "JOHN",
        "middle_name": "STEPHEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-23",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": "0010-07952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Dellaero, PT
• Kristin Sara Delledonne
• Daniel Lee Delo, MD
• Karen Sue Delpilar, M.A./LPA
• Delta Behavioral Health PLLC
• Janine Marie Delucia, DPT
• Sara Gabrielle Delvasto, MS, CGC
• Jennifer C Demarco, PT
• Hannah Demarino
• Ronald Charles Demas, M.D.

• Urgent Care Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Urgent Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.

Verify at the official NPI Registry.