Stephen Paul Lucero, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

NM 86 273 Issued in NM

Practice address

1650 Hospital Dr
Suite 300
Santa Fe, NM 87505-4769

Phone

(505) 989-8325

Fax

(505) 982-7665

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Urology

Education

University of New Mexico School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Taos Professional Services,LLCGroup PAC ID 6507019924, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Cross Hospital a Div of Taos Health Systems Hospital, Taos, NM, CCN 321310

Merit-based Incentive Payment System (MIPS)

Final score

17.38 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

57.94

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Taos Professional Services,LLC

  • Surgery Physician
  • Taos, NM
  • NPI 1891070777

  NM, Urology

  Medicare reassignment Care Compare group NPD
• Taos Professional Services, LLC

  • General Practice Physician
  • Taos, NM
  • NPI 1235597964
  NPD
• Taos Health Systems Inc Holy Cross

  • Internal Medicine Physician
  • Taos, NM
  • NPI 1639310436
  NPD (past)
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Taos Health Systems Inc Holy Cross Hospital

  • General Acute Care Hospital
  • Taos, NM
  • NPI 1194751958

  Hospital

  Care Compare affiliation
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154414027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054769",
            "telephone_number": "505-989-8325",
            "fax_number": "505-982-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054769",
            "telephone_number": "505-989-8325",
            "fax_number": "505-982-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "STEPHEN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NM",
            "license": "NM 86 273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "943384296",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37481",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lenisha Lucero
• Paul George Lucero
• Robert A Lucero, RPH
• Shenyah Renee Lucero
• Stephanie V Lucero, M.D.
• Susan S Lucero
• Teresa Lucero, LMSW
• Teri Lucero
• Vanessa D Lucero, LMSW
• Celina M Luchetti, PA-C

• All providers in Santa Fe, NM
• Urology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.