Individual provider Active NPI

Delia Mercedes Larrauri, MD

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1942410790
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD442280 Issued in PA
Practice address
7500 Central Ave Ste 203
Philadelphia, PA 19111-2432
Phone
(215) 289-4434
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD442280 PA Primary

Addresses

Primary practice location

7500 Central Ave Ste 203
Philadelphia, PA 19111-2432

Mailing address

7500 Central Ave Ste 203
Philadelphia, PA 19111-2432
Phone (215) 289-4434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110616000172 PA Practitioner - Obstetrics/Gynecology 0749467926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7500 Central Ave
Suite 203
Philadelphia, PA 19111-2432
Phone (215) 289-4434

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD442280PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercado Medical Practice LLC CurrentSince Jan 28, 2018 Accepting new patients
Gianna Center of Philadelphia Obstetrics & Gynecology CurrentSince Apr 1, 2018 Accepting new patients

Locations

2705 DeKalb Pike
Ste 207
Norristown, PA 19401
Phone (610) 275-1502

7500 Central Ave
Ste 203
Philadelphia, PA 19111
Phone (215) 289-4434

Interoperability endpoints

  • Direct secure messaging: delia.larrauri.1@17258.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1942410790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 CENTRAL AVE STE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112432",
            "telephone_number": "215-289-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 CENTRAL AVE STE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112432",
            "telephone_number": "215-289-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRAURI",
        "first_name": "DELIA",
        "middle_name": "MERCEDES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD442280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.