Individual provider Active NPI

Amena Marie Deluca, MD

  • MOHS-Micrographic Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1972766921
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
49719 Issued in AZ
Practice address
4512 N 40TH St
Phoenix, AZ 85018-3604
Phone
(602) 954-7546
NPI assigned
Jul 9, 2008
Last updated
Feb 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 49719 AZ Primary

Addresses

Primary practice location

4512 N 40TH St
Phoenix, AZ 85018-3604

Mailing address

4512 N 40TH St
Phoenix, AZ 85018-3604
Phone (602) 954-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150115000593 AZ Practitioner - Dermatology 8123274784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Dermatology PLLCGroup PAC ID 1557355385, 69 clinicians

Practice addresses (Care Compare)

14275 N 87TH St
Suite 110
Scottsdale, AZ 85260-3696
Phone (480) 905-8485

4512 N 40TH St
Phoenix, AZ 85018-3604
Phone (602) 954-7546

Merit-based Incentive Payment System (MIPS)

Final score
83.48 of 100Reported as group
Quality
82.26
Promoting interoperability
83
Improvement activities
40
Cost
76.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision170
Removal of skin lesions1858
Removal of skin cancer593
Removal or shaving of skin growth201
Skin biopsy564

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49719AZMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Dermatology, PLLC Dermatology CurrentSince Jan 1, 2022 Accepting new patients
California Skin Institute, a Medical Corporation Dermatology Past Accepting new patients
Center for Dermatology, PLLC Past Accepting new patients
English Dermatology PC Dermatology Past Accepting new patients

Locations

4512 N 40th St
Phoenix, AZ 85018
Phone (602) 954-7546

14275 N 87th St
Ste 110
Scottsdale, AZ 85260
Phone (480) 223-9501

10440 E Riggs Rd
Ste 160
Sun Lakes, AZ 85248
Phone (480) 505-2450

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1972766921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 N 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183604",
            "telephone_number": "602-954-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 N 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183604",
            "telephone_number": "602-954-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "AMENA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "49719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.