Individual provider Active NPI

Patricio Daniel Lucio, MD

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1245717842
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
327773 Issued in LA
Practice address
653 W 70TH St
Shreveport, LA 71106-2949
Phone
(318) 636-8389
NPI assigned
Jul 26, 2018
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 327773 LA Primary

Addresses

Primary practice location

653 W 70TH St
Shreveport, LA 71106-2949

Mailing address

PO Box 740012
Atlanta, GA 30374-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210709000239 LA Practitioner - Internal Medicine 2365844685 Reassigns benefits to 1 organization
I20250314003361 AZ Practitioner - Internal Medicine 2365844685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Louisiana LLCGroup PAC ID 6406261387, 26 clinicians

Practice addresses (Care Compare)

653 W 70TH St
Shreveport, LA 71106-2949
Phone (318) 636-8389

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Louisiana LLC Multi-Specialty CurrentSince Sep 8, 2025 Accepting new patients
Signify Health, LLC Multi-Specialty CurrentSince Jan 9, 2025 Accepting new patients
Hospital de la Concepcion, Inc Multi-Specialty Past Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

5151 Plank Rd
Ste 210
Baton Rouge, LA 70805
Phone (225) 500-7028

6521 Airline Dr
Metairie, LA 70003
Phone (504) 534-1226

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1245717842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740012",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740012",
            "fax_number": "318-319-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 W 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062949",
            "telephone_number": "318-636-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIO",
        "first_name": "PATRICIO",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "327773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.