Individual provider Active NPI

Matthew Adam Lucks, MD

  • Cardiovascular Disease Physician
  • Alexandria, VA
National Provider Identifier
1215905724
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101264632 Issued in VA
Practice address
700 S Washington St Ste 330
Alexandria, VA 22314
Phone
(703) 717-7780
Fax
(703) 717-7781
NPI assigned
Mar 9, 2006
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101264632 VA Primary

Addresses

Primary practice location

700 S Washington St Ste 330
Alexandria, VA 22314

Mailing address

700 S Washington St Ste 330
Alexandria, VA 22314-4252
Phone (703) 717-7780

Other identifiers 1

IdentifierTypeStateIssuer
00A914470MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlucks49523@direct.virginiahospitalcenter.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050620000348 CA Practitioner - Cardiovascular Disease (Cardiology) 5890739940 Reassigns benefits to 2 organizations
I20180601000690 DC Practitioner - Cardiovascular Disease (Cardiology) 5890739940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1625 N George Mason Dr
Suite 354
Arlington, VA 22205-3687
Phone (703) 717-7780

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 6, 2010 Accepting new patients
Scripps Health CurrentSince Dec 17, 2007 Accepting new patients
Scripps Health CurrentSince Dec 17, 2007 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Jun 4, 2018 Accepting new patients
Virginia Hospital Center Physician Group, LLC Past Accepting new patients
Virginia Hospital Center Physician Group LLC Cardiovascular Disease Past Accepting new patients
Virginia Hospital Center Physician Group LLC Cardiovascular Disease Past Accepting new patients

Locations

320 Santa Fe Dr
Ste 204
Encinitas, CA 92024
Phone (760) 753-1104

9834 Genesee Ave
Ste 300
La Jolla, CA 92037
Phone (858) 678-7050

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

9850 Genesee Ave
Ste 780
La Jolla, CA 92037
Phone (858) 625-7200

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

700 S Washington St
Ste 220
Alexandria, VA 22314
Phone (703) 717-7293

700 S Washington St
Ste 330
Alexandria, VA 22314
Phone (703) 528-8260

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1851 N George Mason Dr
Ste 3C
Arlington, VA 22207
Phone (703) 717-7780

1625 N George Mason Dr
Ste 354
Arlington, VA 22205
Phone (703) 717-7780

1715 N George Mason Dr
Ste 409
Arlington, VA 22205
Phone (703) 243-5960

Interoperability endpoints

  • Direct secure messaging: mlucks49523@direct.virginiahospitalcenter.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1215905724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S WASHINGTON ST STE 330",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144252",
            "telephone_number": "703-717-7780",
            "fax_number": "703-717-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S WASHINGTON ST STE 330",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "703-717-7780",
            "fax_number": "703-717-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKS",
        "first_name": "MATTHEW",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101264632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A914470",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlucks49523@direct.virginiahospitalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOINC 34133-9",
            "address_1": "700 S Washington St Ste 330",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.