Kimberly Ann Johnston Deltuva, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0055498 Issued in MD

Practice address

41 Magna Way
Suite 100
Westminster, MD 21157-3008

Phone

(410) 751-6684

Fax

(410) 751-2371

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimberly A Johnston Former name

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Family Practice

Education

University of Maryland School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifebridge Multi-Specialty. LLCGroup PAC ID 1153625660, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Hanover Hospital, Hanover, PA, CCN 390233

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lifebridge Multi-Specialty, LLC

  • Family Medicine Physician
  • Westminster, MD
  • NPI 1972978625
  Medicare reassignment Care Compare group NPD
• Family Medical Center, LLC

  • Specialist
  • Mount Airy, MD
  • NPI 1346430550
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Hanover

  • Clinic/Center
  • Hanover, PA
  • NPI 1700084944

  Hospital

  Care Compare affiliation
• Upmc Hanover

  • General Acute Care Hospital
  • Hanover, PA
  • NPI 1730158981
  Care Compare affiliation

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1972568913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MAGNA WAY",
            "address_2": "SUITE 100",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573008",
            "telephone_number": "410-751-6684",
            "fax_number": "410-751-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MAGNA WAY",
            "address_2": "SUITE 100",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573008",
            "telephone_number": "410-751-6684",
            "fax_number": "410-751-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELTUVA",
        "first_name": "KIMBERLY",
        "middle_name": "ANN JOHNSTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0055498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110205200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "JOHNSTON",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Dedmon, CRNP
• Deerfield Healthcare Corp.
• Deerfield Healthcare Corp.
• Gabriel Alfonso Del Corral, M.D.
• Pamela Ann Del Nero, LCSW-C
• Deborah Dembeck
• Dental Associates L.L.C.
• Dental Care Associates,LLC
• Dental Concepts
• Dental One Associates (Westminster) PC

• Family Medicine Physician in Westminster, MD
• Providers in Westminster, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.