Active NPI
Kelly Lucas, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Franklin Square, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 006669
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- North Shore University Hospital
- Long Island Jewish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 236 |
| Removal of nail tissue | 460 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006669 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flushing Hospital & Medical Center | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Flushing Hospital Medical Center | Current | Accepting new patients | |
| Metropolitan Podiatry Associates PC | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Philip M. Palmeri, DPM, PC | Current | 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
- klucas47056@direct.medisys.org
- 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.
-
- Podiatrist
- Kew Gardens, NY
- NPI 1942637152
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1548217763
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- Podiatrist
- Franklin Square, NY
- NPI 1861511818
-
- Podiatrist
- Williston Park, NY
- NPI 1154288173
-
- Skilled Nursing Facility
- Flushing, NY
- NPI 1568693174
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1952347205
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.