Individual provider Active NPI

Kelly Lucas, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Franklin Square, NY
National Provider Identifier
1134563265
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006669 Issued in NY
Practice address
925 Hempstead Tpke
Ste 110
Franklin Square, NY 11010-3641
Phone
(516) 352-4454
NPI assigned
Apr 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006669 NY Primary

Addresses

Primary practice location

925 Hempstead Tpke
Ste 110
Franklin Square, NY 11010-3641

Mailing address

102 Willow Ave
Huntington, NY 11743-4206
Phone (570) 460-3340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160718001395 NY Practitioner - Podiatry 8628360310 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12510 Queens Blvd
Suite 301
Kew Gardens, NY 11415-1506
Phone (718) 896-4555

2 Hillside Ave
2E
Williston Park, NY 11596-2392
Phone (718) 896-4555

259 1St St
Mineola, NY 11501-3957
Phone (718) 896-4555

270 -05
New Hyde Park, NY 11040-1402
Phone (718) 896-4555

300 Community Dr
Manhasset, NY 11030-3816
Phone (718) 896-4555

900 Franklin Ave
Valley Stream, NY 11580-2145
Phone (718) 896-4555

Hospital & facility affiliations

  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue236
Removal of nail tissue460
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006669NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital & Medical Center CurrentSince Jan 25, 2021 Accepting new patients
Jamaica Hospital CurrentSince Jan 25, 2021 Accepting new patients
Flushing Hospital Medical Center CurrentSince Jan 25, 2021 Accepting new patients
Metropolitan Podiatry Associates PC Current Accepting new patients
Jamaica Hospital CurrentSince Jan 25, 2021 Accepting new patients
Philip M. Palmeri, DPM, PC CurrentSince Jul 5, 2016 Accepting new patients

Locations

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

925 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 328-7777

925 Hempstead Tpke
Ste 110
Franklin Square, NY 11010
Phone (516) 352-3417

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

8900 Van Wyck Expy
Ste 2
Richmond Hill, NY 11418
Phone (718) 206-7001

2 Hillside Ave
Unit 2E
Williston Park, NY 11596

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: klucas47056@direct.medisys.org
  • Direct secure messaging: klucas307893@nyumc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1134563265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WILLOW AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434206",
            "telephone_number": "570-460-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HEMPSTEAD TPKE",
            "address_2": "STE 110",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103641",
            "telephone_number": "516-352-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

Verify at the official NPI Registry.