Individual provider Active NPI

Gerald L Lucas, MD

  • Radiation Oncology Physician
  • Phoenix, AZ
National Provider Identifier
1235193459
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
21011 Issued in AZ
Practice address
2222 E Highland Ave
Suite # 130
Phoenix, AZ 85016-4872
Phone
(602) 283-2345
Fax
(602) 283-3039
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 21011 AZ Primary

Addresses

Primary practice location

2222 E Highland Ave
Suite # 130
Phoenix, AZ 85016-4872

Mailing address

1760 E River Rd
Suite 350
Tucson, AZ 85718-5877
Phone (520) 519-7775

Other identifiers 2

IdentifierTypeStateIssuer
116477OtherAZAHCCCS
86-0938204OtherAZTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051017001166 AZ Practitioner - Radiation Oncology 5496771685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3645 S Rome St
Suite 116
Gilbert, AZ 85297-7337
Phone (480) 278-8300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21011AZMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Jan 1, 2022 Accepting new patients
Arizona Center for Hematology and Oncology PLC Radiation Oncology CurrentSince Jan 1, 2022 Accepting new patients
Arizona Oncology Services Inc Radiation Oncology Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

3645 S Rome St
Ste 116
Gilbert, AZ 85297
Phone (480) 278-8300

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

14155 N 83rd Ave
Ste 127
Peoria, AZ 85381
Phone (623) 773-2873

2222 E Highland Ave
Ste 130
Phoenix, AZ 85016
Phone (602) 283-2345

7337 E 2nd St
Scottsdale, AZ 85251
Phone (480) 712-8741

10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300

7695 S Research Dr
Tempe, AZ 85284
Phone (480) 256-1664

Interoperability endpoints

  • Direct secure messaging: gerald.lucas@theusoncology.direct.varian.com
  • Direct secure messaging: jerry.lucas@directaddress.net

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, 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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1235193459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E RIVER RD",
            "address_2": "SUITE 350",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185877",
            "telephone_number": "520-519-7775",
            "fax_number": "520-519-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE",
            "address_2": "SUITE # 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164872",
            "telephone_number": "602-283-2345",
            "fax_number": "602-283-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "GERALD",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "21011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "116477",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "86-0938204",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.