Individual provider Active NPI

Noel Manalac Lucas, DO

  • Internal Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1184676090
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101013828 Issued in MI
Practice address
160 NW 170TH St
North Miami Beach, FL 33169-5521
Phone
(305) 651-1100
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34C.000033 OH
Internal Medicine Physician 207R00000X OS20552 FL
Internal Medicine Physician 207R00000X 1834-321 WI
Internal Medicine Physician 207R00000X 2023029232 MO
Hospitalist Physician 208M00000X 34C.000033 OH
Hospitalist Physician 208M00000X OS20552 FL
Hospitalist Physician 208M00000X 2023029232 MO
Internal Medicine Physician 207R00000X 5101013828 MI Primary

Addresses

Primary practice location

160 NW 170TH St
North Miami Beach, FL 33169-5521

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4220

Other practice location 1

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4220

Other identifiers 2

IdentifierTypeStateIssuer
4755163MedicaidMI
P00020053OtherMIRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nlucas21310@direct.covenanthealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, WI, MO, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20050714000576 MI Practitioner - Internal Medicine 1759317316 Reassigns benefits to 2 organizations
I20221130002681 OH Practitioner - Internal Medicine 1759317316 Reassigns benefits to 4 organizations
I20221214001895 WI Practitioner - Internal Medicine 1759317316 Reassigns benefits to 1 organization
I20230912002740 MO Practitioner - Internal Medicine 1759317316 Reassigns benefits to 2 organizations
I20240411004794 FL Practitioner - Internal Medicine 1759317316 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hni Medical Services of Florida, LLCGroup PAC ID 7517202112, 104 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Orlando Inpatient Medicine PAGroup PAC ID 0749598316, 54 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Hni Hospital Services of Florida LLCGroup PAC ID 0244661353, 44 clinicians
Inpatient Care Specialists LLCGroup PAC ID 0345493623, 101 clinicians

Practice addresses (Care Compare)

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (512) 730-3056

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 693-3378

1507 S Hiawassee Rd
Suite 206
Orlando, FL 32835-5719
Phone (407) 445-9545

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

1670 St Vincents Way
Middleburg, FL 32068-8447
Phone (512) 730-3056

4201 Belfort Rd
Jacksonville, FL 32216-1431
Phone (904) 296-3700

4901 Richard St
Jacksonville, FL 32207-7328
Phone (512) 730-3060

502 W Highland Blvd
Inverness, FL 34452-4720
Phone (407) 647-2346

615 N Bonita Ave
Panama City, FL 32401-3623
Phone (850) 769-1511

659 Boulevard St
Dover, OH 44622-2026
Phone (330) 343-3311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101013828MIMDInternal Medicine Physician
1834-321WIMDInternal Medicine Physician
OS20552FLMDHospitalist Physician
2023029232MOMDHospitalist Physician
34C.000033OHMDHospitalist Physician
1834WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Hospital Services of Florida, LLC Internal Medicine CurrentSince Aug 15, 2024 Accepting new patients
Hni Medical Services of Missouri, LLC Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Covenant Medical Center, Inc Internal Medicine CurrentSince Feb 29, 2012 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine Current Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp Internal Medicine CurrentSince May 2, 2025 Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince Apr 27, 2023 Accepting new patients
Oak Grove Physician Services, P.a. Internal Medicine CurrentSince Mar 27, 2024 Accepting new patients
Community Hospitalist, LLC Internal Medicine CurrentSince Nov 17, 2022 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Jan 16, 2025 Accepting new patients
Hni Medical Services of Wisconsin, S.C. Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Boone Physician Services, LLC CurrentSince May 1, 2024 Accepting new patients
Inpatient Care Specialists LLC Hospitalist CurrentSince Oct 1, 2025 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Hni Medical Services of Florida, LLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Feb 29, 2012 Accepting new patients
Sound Inpatient Physicians-Michigan PLLC Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
The Union Hospital Association Past Accepting new patients
Hospitalist Medicine Physicians of Calhoun County, PLLC Internal Medicine Past Accepting new patients

Locations (25 of 29)

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

4901 Richard St
Jacksonville, FL 32207
Phone (904) 425-0500

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

1630 E Primrose St
Springfield, MO 65804
Phone (417) 885-4700

200 E Market St
Akron, OH 44308
Phone (330) 375-4112

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1000 Auburn Dr
Beachwood, OH 44122
Phone (216) 285-4125

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

Interoperability endpoints

  • Direct secure messaging: nlucas233378@ehrdirect.uhhospitals.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 8

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1184676090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 170TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695521",
            "telephone_number": "305-651-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1447 N Harrison St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486024727",
            "country_code": "US",
            "telephone_number": "989-583-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "NOEL",
        "middle_name": "MANALAC",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34C.000033",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS20552",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "1834-321",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2023029232",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "34C.000033",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS20552",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2023029232",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101013828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4755163",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00020053",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlucas21310@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "1447 N Harrison St",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486024727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.