Individual provider Active NPI

Jennifer Deluca Oldham, MD

  • Psychiatry Physician
  • Culpeper, VA
National Provider Identifier
1912113168
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101241257 Issued in VA
Practice address
650 Laurel St
Culpeper, VA 22701-3910
Phone
(540) 825-5656
Fax
(540) 825-1612
NPI assigned
May 15, 2007
Last updated
Jan 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101241257 VA Primary

Addresses

Primary practice location

650 Laurel St
Culpeper, VA 22701-3910

Mailing address

PO Box 1568
Culpeper, VA 22701-6568
Phone (540) 825-3100

Other identifiers 1

IdentifierTypeStateIssuer
4945361MedicaidVA

Other names 1

  • Jennifer Deluca Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080227000669 VA Practitioner - Psychiatry 0749364891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Alabama School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Region Ten Community Community Services BoardGroup PAC ID 3971401308, 18 clinicians

Practice addresses (Care Compare)

800 Preston Ave
Charlottesville, VA 22903-4420
Phone (804) 972-1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101241257VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Region Ten Community Community Services Board CurrentSince Aug 3, 2014 Accepting new patients
Rappahannock Rapidan CSB Past Accepting new patients

Locations

502 Old Lynchburg Rd
Charlottesville, VA 22903
Phone (434) 972-1800

500 Old Lynchburg Rd
Charlottesvle, VA 22903
Phone (434) 972-1800

800 Preston Ave
Charlottesvle, VA 22903
Phone (434) 227-5624

9963 Spotswood Trl
Stanardsville, VA 22973
Phone (434) 220-6603

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1912113168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1568",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227016568",
            "telephone_number": "540-825-3100",
            "fax_number": "540-829-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 LAUREL ST",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013910",
            "telephone_number": "540-825-5656",
            "fax_number": "540-825-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "JENNIFER",
        "middle_name": "DELUCA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101241257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4945361",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DELUCA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.