Organization Active NPI

Michael J. Lucherini MDPC

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1003969445
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26249 Issued in AZ
Legal business name
MICHAEL J. LUCHERINI MDPC
Practice address
6828 E Brown Rd Ste 102
Mesa, AZ 85207-3761
Phone
(480) 981-8650
Fax
(480) 981-1563
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Ellie Tweed
Title
Biller
Phone
(480) 792-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 26249 AZ Primary

Addresses

Primary practice location

6828 E Brown Rd Ste 102
Mesa, AZ 85207-3761

Mailing address

6828 E Brown Rd Ste 102
Mesa, AZ 85207-3761
Phone (480) 981-8650

Other identifiers 1

IdentifierTypeStateIssuer
364076MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1003969445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6828 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073761",
            "telephone_number": "480-981-8650",
            "fax_number": "480-981-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6828 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073761",
            "telephone_number": "480-981-8650",
            "fax_number": "480-981-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. LUCHERINI MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "TWEED",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "480-792-1080"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "26249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364076",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.