NPIMap

Individual provider Active NPI

Kathryn Dianne Lucas

  • Obstetrics & Gynecology Physician
  • Midlothian, VA
National Provider Identifier
1164985016
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101277740 Issued in VA
Practice address
13801 St Francis Blvd
Midlothian, VA 23114-3206
Phone
(804) 897-2100
NPI assigned
Apr 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101277740 VA Primary

Addresses

Primary practice location

13801 St Francis Blvd
Midlothian, VA 23114-3206

Mailing address

1212 Koger Center Blvd
North Chesterfield, VA 23235-4778
Phone (804) 897-2100

Other practice location 1

1775 Lake Harley Dr
Prince George, VA 23875-1259
Phone (804) 897-2100

Other practice location 2

1212 Koger Center Blvd
North Chesterfield, VA 23235-4778
Phone (804) 897-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230817002158 VA Practitioner - Obstetrics/Gynecology 1557723889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas Avery and Associates LTDGroup PAC ID 3971412818, shared by 5 NPIs, 48 clinicians
Virginia Physicians for Women, LTDGroup PAC ID 8628057924, 46 clinicians

Practice addresses (Care Compare)

12725 Stone Village Way
Midlothian, VA 23113-2722
Phone (804) 245-8430

13801 St Francis Blvd
Suite 150
Midlothian, VA 23114-3206
Phone (804) 897-2100

Hospital & facility affiliations

  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101277740VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians for Women LTD Obstetrics & Gynecology CurrentSince Sep 18, 2023 Accepting new patients
Radiologic Associates of Fredericksburg LTD PastSince Oct 1, 2023 Accepting new patients
Central Virginia Gynecologic Oncology PC Past Accepting new patients

Locations

13801 St Francis Blvd
Ste 150
Midlothian, VA 23114

1212 Koger Center Blvd
North Chesterfield, VA 23235
Phone (804) 408-4654

1775 Lake Harley Dr
Prince George, VA 23875

Interoperability endpoints

  • Direct secure messaging: kathryn.lucas@vpfw.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.405
  • Direct secure messaging: klucas19733@gwmfa.direct-ci.com

Organizations & group practices 3

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 11

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1164985016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 KOGER CENTER BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354778",
            "telephone_number": "804-897-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 ST FRANCIS BLVD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143206",
            "telephone_number": "804-897-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Lake Harley Dr",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "238751259",
            "country_code": "US",
            "telephone_number": "804-897-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 Koger Center Blvd",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232354778",
            "country_code": "US",
            "telephone_number": "804-897-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "KATHRYN",
        "middle_name": "DIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101277740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.