Chad Michael Lucci, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0004207 Issued in CO

Practice address

1360 S Potomac St
Aurora, CO 80012-4505

Phone

(303) 337-5575

NPI assigned

Oct 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Brighton Community Emergency Physicians Lpa

  • Emergency Medicine Physician
  • Brighton, CO
  • NPI 1639454242

  CO

  Medicare reassignment
• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083

  CO

  Medicare reassignment
• Mauricio Waintrub, M.D., P.C

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1336172774

  CO

  Medicare reassignment
• Intermountain Medical Group Denver, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Intermountain Medical Group Denver, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Arvada, CO
  • NPI 1982434239
  NPD
• Workwellness Inc

  • Medical Specialty Clinic/Center
  • Fort Lupton, CO
  • NPI 1659741247
  NPD (past)
• Midway Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Waukegan, IL
  • NPI 1447397526

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1023261963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 S POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124505",
            "telephone_number": "303-337-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124505",
            "telephone_number": "303-337-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCCI",
        "first_name": "CHAD",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-23",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "85.003263",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0004207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38876361",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Rothley Lucas, MD
• Jillissa Lucas
• Stephanie Lucas
• Stephanie Anne Lucas, MD
• Hayley Lucci-Rimer
• Betsy Luce
• Crystal Luce
• Walter David Luce, M.D.
• Abigail Lucero
• Aundria Lucero

• Physician Assistant in Aurora, CO
• Providers in Aurora, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.

Verify at the official NPI Registry.