Individual provider Active NPI

Quinton Alan Lucas, M.D.

  • Family Medicine Physician
  • Alexandria, VA
National Provider Identifier
1013163849
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D72895 Issued in MD
Practice address
950 N Washington St Ste 248
Alexandria, VA 22314-2397
Phone
(571) 458-6318
Fax
(202) 773-4001
NPI assigned
Aug 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101246121 VA
Clinical Informatics Physician 2083C0008X 0101246121 VA
Family Medicine Physician 207Q00000X D72895 MD Primary

Addresses

Primary practice location

950 N Washington St Ste 248
Alexandria, VA 22314-2397

Mailing address

950 N Washington St Ste 248
Alexandria, VA 22314-2397
Phone (571) 458-6318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220625000375 PA Practitioner - Family PracticePractitioner - Preventive Medicine 3375689664 Reassigns benefits to 1 organization
I20230104003186 NJ Practitioner - Family Practice 3375689664 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D72895MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Sortal Health PLLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

1 Gateway Ctr
Ste 2600
Newark, NJ 07102
Phone (267) 999-9534

225 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (833) 728-1368

225 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (833) 728-1368

3201 Dallas Pkwy
Ste 200
Frisco, TX 75034
Phone (469) 617-9800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1013163849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N WASHINGTON ST STE 248",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142397",
            "telephone_number": "571-458-6318",
            "fax_number": "202-773-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N WASHINGTON ST STE 248",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142397",
            "telephone_number": "571-458-6318",
            "fax_number": "202-773-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "QUINTON",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101246121",
            "primary": false
        },
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "VA",
            "license": "0101246121",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D72895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.