Individual provider Active NPI

Henry S Lucid, MD

  • Cardiovascular Disease Physician
  • Round Rock, TX
National Provider Identifier
1265424469
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
K2357 Issued in TX
Practice address
16010 Park Valley Dr
Suite 200
Round Rock, TX 78681-3574
Phone
(512) 206-2999
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K2357 TX Primary

Addresses

Primary practice location

16010 Park Valley Dr
Suite 200
Round Rock, TX 78681-3574

Mailing address

16010 Park Valley Dr
Suite 200
Round Rock, TX 78681-3574
Phone (512) 206-2999

Other identifiers 5

IdentifierTypeStateIssuer
7531163OtherAETNA/TRS
1870239OtherTXFIRST HEALTH
8B9681OtherTXBC/BS
966648OtherGREAT WEST
78681-B002OtherCHAMPS/TRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070607000539 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3971601329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Baylor College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16010 Park Valley Dr
Round Rock, TX 78681-3576
Phone (512) 206-2999

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elitecvimaging, LLC CurrentSince Oct 15, 2019 Accepting new patients
Heart and Vascular of Central Texas PA Cardiovascular Disease CurrentSince Nov 20, 2006 Accepting new patients
St Davids Heart & Vascular, PLLC Cardiovascular Disease Past Accepting new patients

Locations

16010 Park Valley Dr
Ste 200
Round Rock, TX 78681
Phone (512) 206-2999

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265424469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16010 PARK VALLEY DR",
            "address_2": "SUITE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813574",
            "telephone_number": "512-206-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16010 PARK VALLEY DR",
            "address_2": "SUITE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813574",
            "telephone_number": "512-206-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCID",
        "first_name": "HENRY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K2357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/TRS",
            "identifier": "7531163",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1870239",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8B9681",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "966648",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPS/TRICARE",
            "identifier": "78681-B002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.