Active NPI
Mel Emiel Lucas, D.O.
- Family Medicine Physician
- Florissant, MO
National Provider Identifier
1225022627
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(1) exclusion effective Mar 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R9F24
- Practice address
- 2175 Charbonier Rd
Florissant, MO 63031-5500 - Phone
- (314) 831-5999
- Fax
- (314) 831-9434
- NPI assigned
- Aug 31, 2005
- Reactivated
- Apr 10, 2006
- Last updated
- Feb 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R9F24 | MO | Primary |
Addresses
Primary practice location
2175 Charbonier Rd
Florissant, MO 63031-5500
Mailing address
2175 Charbonier Rd
Florissant, MO 63031-5500
Phone (314) 831-5999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9F24 | MO | MD | Family Medicine Physician |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Florissant, MO
- NPI 1639352545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1225022627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 CHARBONIER RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630315500",
"telephone_number": "314-831-5999",
"fax_number": "314-831-9434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 CHARBONIER RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630315500",
"telephone_number": "314-831-5999",
"fax_number": "314-831-9434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "MEL",
"middle_name": "EMIEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2008-02-19",
"deactivation_date": "2006-03-24",
"reactivation_date": "2006-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R9F24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.