Lucas M Boehm, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

68458-20 Issued in WI

Practice address

6002 N Port Washington Rd
Milwaukee, WI 53217-4524

Phone

(414) 439-3000

NPI assigned

Mar 25, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lboehm163412@direct.phci.org

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.

• CJ Hussussian MD SC

  • Plastic Surgery Physician
  • Waukesha, WI
  • NPI 1831260405
  Medicare reassignment NPD
• Thedacare, Incorporated

  • Family Medicine Physician
  • New London, WI
  • NPI 1376656959
  Medicare reassignment NPD
• Bluemound Surgery Center LTD

  • Clinic/Center
  • Waukesha, WI
  • NPI 1710107743
  NPD (past)
• Thedacare Medical Center - Berlin, Inc.

  • Critical Access Hospital
  • Berlin, WI
  • NPI 1760413777
  NPD (past)

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1104288430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N86W14041 BEACON ST",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513246",
            "telephone_number": "414-439-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 N PORT WASHINGTON RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532174524",
            "telephone_number": "414-439-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 2nd St",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549562883",
            "country_code": "US",
            "telephone_number": "920-454-5007",
            "fax_number": "920-729-2384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113454",
            "country_code": "US",
            "telephone_number": "920-454-5007",
            "fax_number": "920-729-2384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 Phoenix St # 100",
            "address_purpose": "LOCATION",
            "city": "Delavan",
            "state": "WI",
            "postal_code": "531152340",
            "country_code": "US",
            "telephone_number": "262-288-2434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "LUCAS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WI",
            "license": "68458-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alecia Boeder, PA-C
• Sarah Boeding, PHD, MS, MED
• Henry Boeh, PHD
• Melinda Elizabeth Boehlen, LPC. SAC-IT
• Sharla Rae Boehlke
• Ashley Marie Boehrig, MSN, WHNP-BC, APNP
• Meaghan Lynn Boeker
• Brice Remi Boembeke
• Timothy Frederic Boerger, PHD, ATC
• Abigail Rose Boesel, PA-C

• Plastic Surgery Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Plastic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.