Individual provider Active NPI

William Dean Lucht, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Conshohocken, PA
National Provider Identifier
1235121807
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD459090 Issued in PA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MD7285MedicaidAK
4967OtherAKSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171208000235 PA Practitioner - Pulmonary Disease 1153210034 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20394OKMDClinical Social Worker
036.144544ILMDPulmonary Disease Physician
4967AKMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Dec 1, 2017 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 CurrentSince Dec 1, 2017 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.

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

Verify at the official NPI Registry.