Active NPI
Lucas Gomes Marques, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Puyallup, WA
National Provider Identifier
1336842079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- MD.MD.70111860
- Practice address
- 11102 Sunrise Blvd E Ste 106
Puyallup, WA 98374-8846 - Phone
- (253) 848-8797
- Fax
- (253) 845-1114
- NPI assigned
- Mar 22, 2023
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD.MD.70111860 | WA | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | MD.MD.70111860 | WA | Primary |
Addresses
Primary practice location
11102 Sunrise Blvd E Ste 106
Puyallup, WA 98374-8846
Mailing address
PO Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415-0299
Other practice location 1
4800 Sand Point Way NE # Oc.7830
Seattle, WA 98105-3901
Phone (206) 987-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230428001828 | WA | Order and Referring Only - Pediatric Medicine | 9436514379 |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Morehouse School of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3458 Parkview PL
Hapeville, GA 30354-1572
PO Box
Suite 5299
Tacoma, WA 98415
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Past | Accepting new patients | |
| Pediatrix Cardiology of Washington, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
-
- Pediatric Cardiology Physician
- Tacoma, WA
- NPI 1164445367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1336842079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5299",
"address_2": "MS: 820-5-PCO",
"city": "TACOMA",
"state": "WA",
"postal_code": "984150299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11102 SUNRISE BLVD E STE 106",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983748846",
"telephone_number": "253-848-8797",
"fax_number": "253-845-1114"
}
],
"practiceLocations": [
{
"address_1": "4800 Sand Point Way NE # Oc.7830",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981053901",
"country_code": "US",
"telephone_number": "206-987-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARQUES",
"first_name": "LUCAS",
"middle_name": "GOMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-22",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD.MD.70111860",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "WA",
"license": "MD.MD.70111860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.