Individual provider Active NPI

Leslie Caroline Lucchina, M.D.

  • Dermatology Physician
  • Boston, MA
National Provider Identifier
1326020827
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
75286 Issued in MA
Practice address
160 Commonwealth Ave
Unit 6a
Boston, MA 02116-2707
Phone
(617) 262-3376
Fax
(617) 262-0834
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 75286 MA Primary

Addresses

Primary practice location

160 Commonwealth Ave
Unit 6a
Boston, MA 02116-2707

Mailing address

112 Mount Vernon St
Boston, MA 02108-1215
Phone (617) 557-4897

Other identifiers 2

IdentifierTypeStateIssuer
075286OtherMATUFTS HEALTH PLAN
J12725OtherMABCBS MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040830000697 MA Practitioner - Dermatology 2062487481 Practice locations: Boston, MA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Vermont College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

160 Commonwealth Ave
Unit 6a
Boston, MA 02116-2707
Phone (617) 262-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions107
Skin biopsy91

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502409600000",
    "number": "1326020827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MOUNT VERNON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021081215",
            "telephone_number": "617-557-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 COMMONWEALTH AVE",
            "address_2": "UNIT 6A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162707",
            "telephone_number": "617-262-3376",
            "fax_number": "617-262-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCCHINA",
        "first_name": "LESLIE",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2017-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "75286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "075286",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J12725",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.