KATHY E DELUCIA (PA) – Physician Assistant, NPI 1912920695

KATHY E DELUCIA (PA) is a healthcare provider. based in Fairfield, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 000130 (CT). The NPI Number for KATHY E DELUCIA (PA) is 1912920695

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
KATHY E DELUCIA (PA)
NPI
1912920695
Phone
(203) 337-2600
Address
305 BLACK ROCK TPKE
Enumeration Date
25 July 2006
Last Update Date
30 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2033372600
Graduation Year
1989 (37 years ago)
PAC ID
4587612429
Group Practice PAC ID
8820037898
Professional Enrollment ID
I20050107000423
Address ID
CT064602574MI321XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,243 PHYSICIAN ASSISTANT in CT

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Provider Addresses for KATHY E DELUCIA (PA)

  • 305, Black Rock Turnpike, Fairfield, Fairfield County, Connecticut, 06825, United States

    OSG

    FAIRFIELD, CT 068255508

    Phone: (203) 337-2600

    Fax: (203) 337-2666

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Stryker Corporation ($87).

Total Amount

$87

General + Research + Ownership

Payments

2

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$87
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050107000423IPhysician AssistantCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
23472Prosthetic repair of shoulder joint, total shoulder1515$0
View full utilization report →

Insurance plans in this area (ZIP 06825)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820037898View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
Family PracticeCT
Occupational Therapist In Private PracticeCT
Orthopedic Surgery, Sports MedicineCT
-CT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Orthopedic SurgeryMD

Reviews

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Frequently asked questions

Is there an official ID for KATHY E DELUCIA (PA) in U.S. healthcare records?
The official identifier for KATHY E DELUCIA (PA) is NPI 1912920695.
Would KATHY E DELUCIA (PA) appear as active to a payer?
You can treat KATHY E DELUCIA (PA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KATHY E DELUCIA (PA)?
KATHY E DELUCIA (PA)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with KATHY E DELUCIA (PA)?
Directory geography for KATHY E DELUCIA (PA) centers on Fairfield, Connecticut.
Does KATHY E DELUCIA (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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