Active NPI
Luke William Ganucheau, MD
- Pediatrics Physician
- Plano, TX
National Provider Identifier
1003503004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- W5341
- Practice address
- 7601 Preston Rd
Plano, TX 75024-3214 - Phone
- (469) 303-7000
- NPI assigned
- Apr 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | W5341 | TX | Primary |
Addresses
Primary practice location
7601 Preston Rd
Plano, TX 75024-3214
Mailing address
7601 Preston Rd
Plano, TX 75024-3214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230629000177 | AR | Order and Referring Only - Pediatric Medicine | 6103285853 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1003503004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 PRESTON RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750243214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 PRESTON RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750243214",
"telephone_number": "469-303-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANUCHEAU",
"first_name": "LUKE",
"middle_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-19",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "W5341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.