Active NPI
John D. Delucia, MD
- Anesthesiology Physician
- Maumee, OH
National Provider Identifier
1942273693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35.070646
- Practice address
- 5901 Monclova Rd
Maumee, OH 43537-1855 - Phone
- (419) 897-8370
- NPI assigned
- Feb 10, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35.070646 | OH | Primary |
Addresses
Primary practice location
5901 Monclova Rd
Maumee, OH 43537-1855
Mailing address
7023 Shooters Hill Rd
Toledo, OH 43617-1320
Phone (419) 843-2024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2290604 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdelucia16649@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.070646 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastriver Anesthesia Services, Inc. | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Oregon, OH
- NPI 1962574160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1942273693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7023 SHOOTERS HILL RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171320",
"telephone_number": "419-843-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 MONCLOVA RD",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371855",
"telephone_number": "419-897-8370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCIA",
"first_name": "JOHN",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35.070646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2290604",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdelucia16649@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maumee, OH
- Yesenia Decapua, DIPL. AC., L.AC.
- Tiffany Decker, APRN, FNP-BC
- Marsha Degens, PTA
- Shelly Dehollander
- Lyndzi Marie Delacruz
- Audrey Mae Demoe, RBT
- Jeanne Dennler, PHD
- Dental Excellence of Maumee Michael Carpenter DDS LLC (Dental Excellence of Maumee)
- Dental Reflections at Briarfield
- Dental Reflections Delbert a Davis DMD & William B Gardiner DDS Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.