MS. DELINDA DEMITA WILLS (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1063531804
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,163 GENERAL SURGERY in FL
Provider Addresses for MS. DELINDA DEMITA WILLS (MD)
303 N CLYDE MORRIS BLVD
10E PBFS DEPT
DAYTONA BEACH, FL 321142709
Phone: (386) 226-4590
Fax: (386) 226-3371
Type: Mailing
303 N CLYDE MORRIS BLVD.
HALIFAX HEALTH MEDICAL CENTER
DAYTONA BEACH, FL 321142709
Phone: (386) 254-4152
Fax: (386) 254-4315
Type: Location
1735 Keller Springs Rd Ste 210
Carrollton, TX 750063014
Phone: (214) 731-6060
Fax: (318) 401-0911
Type: Location
800 E Dawson St
Tyler, TX 757012036
Phone: (903) 606-7264
Type: Location
3225 TURTLE CREEK BLVD APT 1534
DALLAS, TX 752195484
Phone: (318) 401-0911
Fax: (386) 226-3371
Type: Mailing
221 NE GLEN OAK AVE
PEORIA, IL 616360001
Phone: (309) 672-5522
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-06-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130410000507 | I | General Surgery | TX | TBD |
| I20171003005334 | I | Critical Care (Intensivists) | AZ | TBD |
| I20230608002775 | I | General Surgery | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 77 | 72 | $0 |
Insurance plans in this area (ZIP 32114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| - | IL | |
| Radiation Oncology | NC | |
| - | IL | |
| - | IL | |
| - | OK | |
| U R O L O G Y | AR | |
| Internal Medicine | IL | |
| Emergency Medicine | IL | |
| Family Practice | IL |
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