Individual provider Active NPI

Luke Michael Sicilia, DPM

  • Podiatrist
  • Montgomery, AL
National Provider Identifier
1346864584
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
369 Issued in AL
Practice address
1558 E Trinity Blvd
Montgomery, AL 36106-3609
Phone
(334) 396-3338
Fax
(334) 244-4184
NPI assigned
Jun 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 369 AL Primary

Addresses

Primary practice location

1558 E Trinity Blvd
Montgomery, AL 36106-3609

Mailing address

4101 Charlotte Ave Ste F185
Nashville, TN 37209-4066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220809000166 AL Practitioner - Podiatry 4284016189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Vital Path Care PCGroup PAC ID 8022532613, 52 clinicians

Practice addresses (Care Compare)

1558 E Trinity Blvd
Montgomery, AL 36106-3609
Phone (205) 822-8038

2057 Valleydale Rd
Suite 109
Hoover, AL 35244-2707
Phone (205) 822-8038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue61
Removal of nail tissue738
Removal or shaving of skin growth103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
369ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Podiatrist CurrentSince Aug 1, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Aug 1, 2022 Accepting new patients
Vital Path Care PC Podiatrist CurrentSince Feb 24, 2025 Accepting new patients

Locations

2057 Valleydale Rd
Ste 109
Hoover, AL 35244
Phone (205) 822-8038

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

1558 E Trinity Blvd
Montgomery, AL 36106
Phone (205) 822-8038

102 Woodmont Blvd
Ste 450
Nashville, TN 37205

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

Interoperability endpoints

  • Direct secure messaging: luke.sicilia.1@4399.direct.athenahealth.com

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1346864584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 CHARLOTTE AVE STE F185",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 E TRINITY BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063609",
            "telephone_number": "334-396-3338",
            "fax_number": "334-244-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICILIA",
        "first_name": "LUKE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.