Active NPI
Lukasz Myc, M.D.
- Pulmonary Disease Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 40964
- Practice address
- 5955 Airport Blvd
Mobile, AL 36608-3135 - Phone
- (251) 633-0573
- Fax
- (251) 633-7367
- NPI assigned
- Jun 7, 2013
- Last updated
- Dec 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101260427 | VA | |
| Internal Medicine Physician | 207R00000X | 40964 | AL | |
| Hospitalist Physician | 208M00000X | 0101260427 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | 40964 | AL | Primary |
Addresses
Primary practice location
5955 Airport Blvd
Mobile, AL 36608-3135
Mailing address
PO Box 7987
Mobile, AL 36670-0987
Phone (251) 633-0573
Other practice location 1
8725 County Road 64
Daphne, AL 36526-6061
Phone (251) 625-1370
Other practice location 2
2001 Spring Hill Ave
Mobile, AL 36607-3326
Phone (251) 433-3344
Other practice location 3
100 Memorial Hospital Dr Ste 1A
Mobile, AL 36608-1128
Phone (251) 343-6848
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZ2155 | Other | AL | VIVA HEALTH |
| 251324 | Medicaid | AL | |
| 251328 | Medicaid | AL | |
| 253074 | Medicaid | AL | |
| 251338 | Medicaid | AL | |
| 4150261 | Other | AL | AETNA |
| 512-44737 | Other | AL | BCBS |
| P02511079 | Other | AL | RR MEDICARE |
| 512-44735 | Other | AL | BCBS |
| 6099394 | Other | AL | UHC |
| A10255A | Other | AL | MEDICARE |
| 512-44736 | Other | AL | BCBS |
| 02739713 | Medicaid | MS | |
| 512-44734 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Wayne State University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101260427 | VA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecm Health Group LLC | Hospitalist | Current | Accepting new patients |
| Pulmonary Associates of Mobile PC | Pulmonary Disease | Past | Accepting new patients |
| RCHP - Florence LLC | Past | Accepting new patients | |
| Pulmonary Associates of Mobile PC | Pulmonary Disease | Past | Accepting new patients |
Locations
1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900
541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098
541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Care Medicine (Internal Medicine) Physician
- Mobile, AL
- NPI 1194776278
Pulmonary Disease
-
- Critical Care Medicine (Internal Medicine) Physician
- Mobile, AL
- NPI 1689624835
Pulmonary Disease
-
dba North Alabama Medical Center
- General Acute Care Hospital
- Florence, AL
- NPI 1477874337
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Alabama Medical Center
- General Acute Care Hospital
- Florence, AL
- NPI 1477874337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1154769545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7987",
"city": "MOBILE",
"state": "AL",
"postal_code": "366700987",
"telephone_number": "251-633-0573",
"fax_number": "251-633-7367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5955 AIRPORT BLVD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366083135",
"telephone_number": "251-633-0573",
"fax_number": "251-633-7367"
}
],
"practiceLocations": [
{
"address_1": "8725 County Road 64",
"address_purpose": "LOCATION",
"city": "Daphne",
"state": "AL",
"postal_code": "365266061",
"country_code": "US",
"telephone_number": "251-625-1370",
"fax_number": "251-625-1380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 Spring Hill Ave",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366073326",
"country_code": "US",
"telephone_number": "251-433-3344",
"fax_number": "251-433-4052",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Memorial Hospital Dr Ste 1A",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366081128",
"country_code": "US",
"telephone_number": "251-343-6848",
"fax_number": "251-343-5708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYC",
"first_name": "LUKASZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-07",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101260427",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "40964",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101260427",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AL",
"license": "40964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA HEALTH",
"identifier": "ZZ2155",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251324",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251328",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253074",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251338",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4150261",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "512-44737",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P02511079",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "512-44735",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "6099394",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A10255A",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "512-44736",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02739713",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "512-44734",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.