Individual provider Active NPI

Deborah Maria Lucas, MD

  • Diagnostic Radiology Physician
  • Salisbury, NC
National Provider Identifier
1225032089
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9700366 Issued in NC
Practice address
WG 'Bill' Hefner Vamc
1601 Brenner Ave
Salisbury, NC 28144
Phone
(704) 638-9000
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X 9700366 NC
Diagnostic Ultrasound Physician 2085U0001X 9700366 NC
Diagnostic Radiology Physician 2085R0202X 9700366 NC Primary

Addresses

Primary practice location

WG 'Bill' Hefner Vamc
1601 Brenner Ave
Salisbury, NC 28144

Mailing address

108 Waverly Cir
Salisbury, NC 28144-9419
Phone (704) 639-9313

Other practice location 1

3801 W Market St
Greensboro, NC 27407-1301
Phone (336) 852-3300

Other identifiers 1

IdentifierTypeStateIssuer
8953164MedicaidNC

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9700366NCMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Radiological Associates, P.a. Diagnostic Radiology PastSince Jul 22, 2013 Accepting new patients
Southeastern Overread Services PLLC Nuclear Radiology Past Accepting new patients
Southeastern Radiology PA Diagnostic Radiology Past Accepting new patients
Reidsville Imaging Center, LLC PastSince Apr 17, 2006 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1225032089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WAVERLY CIR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281449419",
            "telephone_number": "704-639-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WG 'BILL' HEFNER VAMC",
            "address_2": "1601 BRENNER AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "28144",
            "telephone_number": "704-638-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 W Market St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274071301",
            "country_code": "US",
            "telephone_number": "336-852-3300",
            "fax_number": "336-852-0651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "DEBORAH",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NC",
            "license": "9700366",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NC",
            "license": "9700366",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "9700366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8953164",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.