Individual provider Active NPI

Lucas James Upperman, MD

  • Anesthesiology Physician
  • Cleveland, OH
National Provider Identifier
1346746559
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35.143258 Issued in OH
Practice address
9500 Euclid Ave # NA-23
Cleveland, OH 44195-0001
Phone
(216) 444-2200
Fax
(216) 444-4383
NPI assigned
Apr 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 35.143258 OH Primary

Addresses

Primary practice location

9500 Euclid Ave # NA-23
Cleveland, OH 44195-0001

Mailing address

9500 Euclid Ave # NA-23
Cleveland, OH 44195-0001
Phone (216) 444-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230926004371 OH Practitioner - Anesthesiology 4688920945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Northeastern Ohio University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Hospital & facility affiliations

  • Metrohealth System Hospital, Cleveland, OH, CCN 360059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.143258OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radius Anesthesia of Ohio, LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
The Metrohealth System CurrentSince Aug 28, 2024 Accepting new patients
The Metrohealth System Single Specialty CurrentSince Aug 28, 2024 Accepting new patients
The Metrohealth System Current Accepting new patients
Columbus Anesthesia Services LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Society Hill Anesthesia Consultants of New Jersey, PC Single Specialty Past Accepting new patients

Locations

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

9500 Euclid Ave
#23
Cleveland, OH 44195
Phone (216) 444-5690

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

Interoperability endpoints

  • Direct secure messaging: lupperman288127@direct.metrohealth.org
  • Direct secure messaging: lupperman304561@ehrdirect.uhhospitals.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1346746559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # NA-23",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-2200",
            "fax_number": "216-444-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # NA-23",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-2200",
            "fax_number": "216-444-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPPERMAN",
        "first_name": "LUCAS",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2023-08-28",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.143258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.