Individual provider Active NPI

Awilda Michelle Luciano, M.D.

  • Rheumatology Physician
  • Denton, TX
National Provider Identifier
1023212990
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
M1891 Issued in TX
Practice address
2665 Scripture Street
Denton, TX 76201
Phone
(940) 387-8763
Fax
(940) 535-5901
NPI assigned
Jun 13, 2007
Last updated
Nov 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X M1891 TX
Internal Medicine Physician 207R00000X M1891 TX
Rheumatology Physician 207RR0500X M1891 TX Primary

Addresses

Primary practice location

2665 Scripture Street
Denton, TX 76201

Mailing address

2665 Scripture Street
Denton, TX 76201
Phone (940) 387-8763

Other identifiers 1

IdentifierTypeStateIssuer
197184801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081028000868 TX Practitioner - RheumatologyPractitioner - Internal Medicine 3870651292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lone Star Arthritis and Rheumatology Associates PLLCGroup PAC ID 8729435789, 7 clinicians

Practice addresses (Care Compare)

1108 Dallas Dr
Denton, TX 76205-5123
Phone (817) 789-6770

5450 Clearfork Main St
Suite 200
Fort Worth, TX 76109-3562
Phone (817) 789-6770

6750 N Macarthur Blvd
Suite 304
Irving, TX 75039-2474
Phone (817) 789-6770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1891TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Internal Medicine Current Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Sep 1, 2008 Accepting new patients
Lone Star Arthritis and Rheumatology Associates PLLC Rheumatology CurrentSince Nov 1, 2023 Accepting new patients
Medical Clinic of North Texas, PLLC Internal Medicine CurrentSince Sep 1, 2008 Accepting new patients
Texas Health Physicians Group PastSince Dec 16, 2020 Accepting new patients
Lone Star Arthritis & Rheumatology Assoicates, PLLC Rheumatology PastSince Jul 21, 2024 Accepting new patients

Locations

808 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 558-3937

1108 Dallas Dr
Ste 300
Denton, TX 76205
Phone (817) 789-6770

2665 Scripture St
Denton, TX 76201
Phone (940) 387-8763

3300 Colorado Blvd
Denton, TX 76210
Phone (817) 789-6770

5450 Clearfork Main St
Ste 200
Fort Worth, TX 76109
Phone (817) 336-7191

6750 N MacArthur Blvd
Ste 304
Irving, TX 75039
Phone (817) 789-6770

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • Direct secure messaging: awildamichelle.luciano.p2@direct.aara.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1023212990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 SCRIPTURE STREET",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76201",
            "telephone_number": "940-387-8763",
            "fax_number": "940-535-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 SCRIPTURE STREET",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76201",
            "telephone_number": "940-387-8763",
            "fax_number": "940-535-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIANO",
        "first_name": "AWILDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "M1891",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1891",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "M1891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197184801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.