Active NPI
William Dean Lucht, M.D.
- Sleep Medicine (Internal Medicine) Physician
- Conshohocken, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- MD459090
- Practice address
- 100 E 15TH Ave
Conshohocken, PA 19428-2329 - Phone
- (907) 317-7894
- Fax
- (610) 825-4182
- NPI assigned
- Aug 18, 2005
- Last updated
- Jun 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4967 | AK | |
| Pulmonary Disease Physician | 207RP1001X | MD459090 | PA | |
| Pulmonary Disease Physician | 207RP1001X | 4967 | AK | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 036.144544 | IL | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 4967 | AK | |
| Pulmonary Disease Physician | 207RP1001X | 036.144544 | IL | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD459090 | PA | Primary |
Addresses
Primary practice location
100 E 15TH Ave
Conshohocken, PA 19428-2329
Mailing address
100 E 15TH Ave
Conshohocken, PA 19428-2329
Phone (907) 317-7894
Other practice location 1
500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-0003 ext. 28310
Other practice location 2
801 North 29th Street
Billings, MT 59107-7000
Phone (406) 238-5046
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD7285 | Medicaid | AK | |
| 4967 | Other | AK | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20394 | OK | MD | Clinical Social Worker |
| 036.144544 | IL | MD | Pulmonary Disease Physician |
| 4967 | AK | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Pulmonary Disease | Current | Accepting new patients |
Locations
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
- Sleep Medicine (Internal Medicine) Physician
- Conshohocken, PA
- NPI 1376530493
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Pulmonary Disease Physician
- Hershey, PA
- NPI 1811962558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1235121807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E 15TH AVE",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282329",
"telephone_number": "907-317-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 15TH AVE",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282329",
"telephone_number": "907-317-7894",
"fax_number": "610-825-4182"
}
],
"practiceLocations": [
{
"address_1": "500 University Dr",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332360",
"country_code": "US",
"telephone_number": "717-531-0003 x28310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 North 29th Street",
"address_purpose": "LOCATION",
"city": "Billings",
"state": "MT",
"postal_code": "591077000",
"country_code": "US",
"telephone_number": "406-238-5046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCHT",
"first_name": "WILLIAM",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AK",
"license": "4967",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "MD459090",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AK",
"license": "4967",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IL",
"license": "036.144544",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "AK",
"license": "4967",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036.144544",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "PA",
"license": "MD459090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD7285",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4967",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.