Active NPI
Joseph Gerald Lucido, DO
- Family Medicine Physician
- Chesterfield, MI
National Provider Identifier
1336600311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101026238
- Practice address
- 34301 23 Mile Rd Ste 100
Chesterfield, MI 48047-4432 - Phone
- (586) 725-1770
- Fax
- (586) 725-4080
- NPI assigned
- Mar 30, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 5101026238 | MI | Primary |
Addresses
Primary practice location
34301 23 Mile Rd Ste 100
Chesterfield, MI 48047-4432
Mailing address
34301 23 Mile Rd Ste 100
Chesterfield, MI 48047-4432
Phone (586) 725-1770
Other practice location 1
15855 19 Mile Rd
Clinton Twp, MI 48038-3504
Phone (586) 212-7013
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlucido449784@direct.hfhs.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
34301 23 Mile Rd
Suite 100
Chesterfield, MI 48047-4432
Phone (586) 725-1770
Hospital & facility affiliations
- Henry Ford Macomb Hospital
- Henry Ford Health St John Hospital
- McLaren Macomb
- Ascension River District Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Family Physicians, P.C. | Family Medicine | Current | Accepting new patients |
Locations
34301 23 Mile Rd
Ste 100
Chesterfield, MI 48047
Phone (586) 725-1770
Interoperability endpoints
- joseph.lucido.1@24454.direct.athenahealth.com
- https://api.platform.athenahealth.com/24454/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Chesterfield, MI
- NPI 1891804936
Family Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East China, MI
- NPI 1619941333
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1336600311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34301 23 MILE RD STE 100",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480474432",
"telephone_number": "586-725-1770",
"fax_number": "586-725-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34301 23 MILE RD STE 100",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480474432",
"telephone_number": "586-725-1770",
"fax_number": "586-725-4080"
}
],
"practiceLocations": [
{
"address_1": "15855 19 Mile Rd",
"address_purpose": "LOCATION",
"city": "Clinton Twp",
"state": "MI",
"postal_code": "480383504",
"country_code": "US",
"telephone_number": "586-212-7013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCIDO",
"first_name": "JOSEPH",
"middle_name": "GERALD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-30",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101026238",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlucido449784@direct.hfhs.org",
"affiliation": "N",
"address_1": "15855 19 Mile Rd",
"city": "Clinton Twp",
"state": "MI",
"country_code": "US",
"postal_code": "480383504",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.