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MARIE ELIZABETH DELUCA
NPI 1831552199
Emergency Medicine in Detroit, MI

Active since April 03, 2016PECOS EnrolledAccepts Medicare Assignment
87.93/100
CMS Quality Rating
4201 ST. ANTOINE, 6G UHC, DETROIT, MI 48201(313) 993-2529(313) 993-7703 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2019, Apr 3, 2016 (2 updates tracked since 2016).

About Marie Elizabeth Deluca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIE ELIZABETH DELUCA (NPI 1831552199) is an individual emergency medicine provider in Detroit, Michigan, licensed in New York (298636) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831552199
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMARIE ELIZABETH DELUCA
Location Address4201 ST. ANTOINE, 6G UHCDetroit, MI 48201
Mailing Address4201 St. Antoine, 6g UhcDetroit, MI 48201 · (313) 993-2529 · Fax (313) 993-7703
Phone(313) 993-2529
Fax(313) 993-7703
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 3, 2016
Last NPPES UpdateJanuary 31, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2024
✔ NPI 1831552199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NY · 298636✔ Licensed in MI · 4301510571
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4201 ST. ANTOINE, Detroit, MI 48201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marie Elizabeth Deluca is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810287117
PECOS Enrollment IDI20240205001760
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
135 services132 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
66 services59 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.78
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNOR J O'BOYLE MD
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, 5E-UHC
DETROIT, MI 48201
Wayne County (313) 577-0714
ELIZABETH ANN KUPSER
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, UHC-9C DETROIT MEDICAL CENTER- GME OFFICE
DETROIT, MI 48201
Wayne County (313) 745-5147
AHMED AL KHALIFA M.D
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, UHC-9C
DETROIT, MI 48201
Wayne County (313) 745-5533
JUAN SEBASTIAN RIVERA BECERRA M.D.
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, UHC 9C
DETROIT, MI 48201
Wayne County (313) 745-6047
CHRISTINA CAON CNP
Nurse Practitioner (Adult Health)
4201 ST. ANTOINE, SUITE 8A
DETROIT, MI 48201
Wayne County (313) 745-4275
LISABETTE SUE LITTSEY NP
Nurse Practitioner (Adult Health)
4201 ST. ANTOINE, UHC
DETROIT, MI 48201
Wayne County (313) 745-2554
MUHAMMAD MEHRAIZ KHAN M.D.
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE
DETROIT, MI 48201
Wayne County (315) 577-5310
MR. WALID MOHAMED NAGEIB IBRAHIM M.D
Internal Medicine
4201 ST. ANTOINE, UHC-2E
DETROIT, MI 48201
Wayne County (313) 745-4832

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marie Deluca's NPI number?

The NPI number for Marie Deluca is 1831552199. It was assigned to this individual provider in the NPPES registry on April 3, 2016.

Where is Marie Deluca located?

Marie Deluca practices at 4201 St. Antoine 6G Uhc, Detroit, MI 48201. The listed phone number is (313) 993-2529.

What is Marie Deluca's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Marie Deluca enrolled in Medicare?

Yes. Marie Deluca is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marie Deluca accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Marie Deluca as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marie Deluca affiliated with any hospitals?

According to CMS data, Marie Deluca is affiliated with Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Marie Deluca was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.