Individual provider Active NPI

Jacob William Lucas, D.O.

  • Urology Physician
  • Wyomissing, PA
National Provider Identifier
1407237944
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
S5422 Issued in TX
Practice address
1320 Broadcasting Rd Ste 200
Wyomissing, PA 19610-3222
Phone
(610) 372-8995
NPI assigned
Jun 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X S5422 TX Primary

Addresses

Primary practice location

1320 Broadcasting Rd Ste 200
Wyomissing, PA 19610-3222

Mailing address

1320 Broadcasting Rd Ste 200
Wyomissing, PA 19610-3222
Phone (610) 372-8995

Other practice location 1

1270 Broadcasting Rd
Wyomissing, PA 19610-3203
Phone (610) 372-8995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240409001459 PA Practitioner - Urology 6800212978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1320 Broadcasting Rd
Suite 200
Reading, PA 19610-3222
Phone (610) 372-8995

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince May 15, 2024 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Center for Urologic Care of Berks Co PC Urology CurrentSince May 1, 2024 Accepting new patients
Tower Health Medical Group Urology CurrentSince May 15, 2024 Accepting new patients

Locations

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

1320 Broadcasting Rd
Ste 200
Wyomissing, PA 19610
Phone (610) 372-8995

1270 Broadcasting Rd
Wyomissing, PA 19610
Phone (610) 372-1140

Interoperability endpoints

  • Direct secure messaging: jacoblucas@cucbc.medalliesdirect.net

Organizations & group practices 4

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 9

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": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1407237944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 BROADCASTING RD STE 200",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103222",
            "telephone_number": "610-372-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 BROADCASTING RD STE 200",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103222",
            "telephone_number": "610-372-8995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Broadcasting Rd",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196103203",
            "country_code": "US",
            "telephone_number": "610-372-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JACOB",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "S5422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.