NPIMap

Individual provider Active NPI

Michael Lucke, M.D.

  • Rheumatology Physician
  • Pittsburgh, PA
National Provider Identifier
1225264336
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD451663 Issued in PA
Practice address
4815 Liberty Ave Ste 250
Pittsburgh, PA 15224
Phone
(412) 578-1152
Fax
(412) 605-6669
NPI assigned
Jun 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD451663 PA Primary

Addresses

Primary practice location

4815 Liberty Ave Ste 250
Pittsburgh, PA 15224

Mailing address

4815 Liberty Ave Ste 250
Pittsburgh, PA 15224-2156
Phone (412) 578-1152

Other identifiers 1

IdentifierTypeStateIssuer
102943199MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlucke21218@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140814000720 PA Practitioner - Rheumatology 3678790698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Tufts University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

320 E N Ave
Pittsburgh, PA 15212-4756

4800 Friendship Ave
Pittsburgh, PA 15224-1722

4815 Liberty Ave
Pittsburgh, PA 15224-2156

575 Coal Valley Rd
Clairton, PA 15025-3729

Hospital & facility affiliations

  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
  • Allegheny Valley Hospital Hospital, Natrona, PA, CCN 390032
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Ahn Wexford Hospital Hospital, Wexford, PA, CCN 390334

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD451663PAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Rheumatology CurrentSince Aug 1, 2014 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2014 Accepting new patients
Allegheny Clinic Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

575 Coal Valley Rd
Ste 573
Jefferson Hills, PA 15025
Phone (412) 469-3300

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4815 Liberty Ave
Ste 250
Pittsburgh, PA 15224
Phone (412) 578-1152

Interoperability endpoints

  • Direct secure messaging: mlucke21218@direct.ahn.org

Organizations & group practices 5

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 10

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": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1225264336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 250",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-578-1152",
            "fax_number": "412-605-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 250",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15224",
            "telephone_number": "412-578-1152",
            "fax_number": "412-605-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD451663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102943199",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlucke21218@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4815 Liberty Ave Ste 250",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.