Shantae Ladon Lucas, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

9800619 Issued in NC

Practice address

551 Brevard Rd
Asheville, NC 28806-2316

Phone

(828) 212-7021

NPI assigned

Oct 22, 2005

Last updated

Nov 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: slucas@cancercareofwnc.direct.varian.com

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.

• Mission Hospitals Inc

  dba Cancer Care of Western North Carolina - Mission

  • Medical Oncology Physician
  • Asheville, NC
  • NPI 1548532021
  NPD
• Mission Hospitals Inc

  dba Mission Psychiatric Services

  • Psychiatric Hospital Unit
  • Asheville, NC
  • NPI 1962452482
  NPD
• Cancer Care of WNC

  • Hematology & Oncology Physician
  • Asheville, NC
  • NPI 1326038258
  NPD (past)
• MH Angel Medical Center, LLLP

  • Medicare Defined Swing Bed Hospital Unit
  • Franklin, NC
  • NPI 1720554934
  NPD (past)

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

{
    "created_epoch": "1129939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1063402998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BRADDOCK WAY",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032026",
            "telephone_number": "828-277-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 BREVARD RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062316",
            "telephone_number": "828-212-7021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014550",
            "country_code": "US",
            "telephone_number": "828-213-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "SHANTAE",
        "middle_name": "LADON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-22",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NC",
            "license": "9800619",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "9800619",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "9800619",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "1173A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "830005265",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "36-71291",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "36-71291",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "99564",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891173A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Loyall, CRNA
• Daniela Lozano
• Lei Lu
• Michael J Luca, PA
• Linda Lucas, LCSW
• Geoffry Luce, LPC
• John Denis Lucey, M.D.
• Rebecca Lynn Lucieer, PA-C
• Krista Kopp Luck, PHARMD
• John W Ludgate, PH.D.

• Hematology & Oncology Physician in Asheville, NC
• Providers in Asheville, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.