Individual provider Active NPI

Robert Gene Lucas, P.A.

  • Physician Assistant
  • Christiansburg, VA
National Provider Identifier
1154372514
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003733 Issued in VA
Practice address
2900 Lamb Cir
Christiansburg, VA 24073
Phone
(540) 731-2866
Fax
(540) 731-2867
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003733 VA Primary

Addresses

Primary practice location

2900 Lamb Cir
Christiansburg, VA 24073

Mailing address

2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone (540) 731-2866

Other practice location 1

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121

Other identifiers 5

IdentifierTypeStateIssuer
806700200MedicaidID
4301674MedicaidMT
QM0000069126OtherALTIUS #
12479OtherUNIVERSITY HEALTH PLANS #
74004OtherPEHP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20120225000181 VA Practitioner - Physician Assistant 7214902998 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Jan 30, 2012 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 1, 2019 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jan 1, 2014 Accepting new patients
Carilion Medical Center CurrentSince Jul 9, 2012 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jan 1, 2014 Accepting new patients
Carilion Emergency Services, Inc. CurrentSince Jan 15, 2013 Accepting new patients
Carilion Medical Center CurrentSince Jan 30, 2012 Accepting new patients
Department of Pediatrics University of Utah Past Accepting new patients

Locations

434 Peppers Fry Rd NW
Christiansburg, VA 24073
Phone (540) 382-6000

2900 Lamb Cir
Christiansburg, VA 24073
Phone (540) 731-2114

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

Interoperability endpoints

  • Direct secure messaging: rlucas41835@direct.carilionclinic.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1154372514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736344",
            "telephone_number": "540-731-2866",
            "fax_number": "540-731-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "24073",
            "telephone_number": "540-731-2866",
            "fax_number": "540-731-2867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 N Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320001",
            "country_code": "US",
            "telephone_number": "801-581-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "ROBERT",
        "middle_name": "GENE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806700200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301674",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS #",
            "identifier": "QM0000069126",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLANS #",
            "identifier": "12479",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP #",
            "identifier": "74004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.