Individual provider Active NPI

Kathryn J Lucas, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Morehead City, NC
National Provider Identifier
1407892441
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25724 Issued in NC
Practice address
611 N 35TH St
Morehead City, NC 28557-3126
Phone
(252) 222-5700
Fax
(252) 222-5705
NPI assigned
Jun 20, 2006
Last updated
Mar 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25724 NC Primary

Addresses

Primary practice location

611 N 35TH St
Morehead City, NC 28557-3126

Mailing address

611 N 35TH St
Morehead City, NC 28557-3126
Phone (252) 222-5700

Other identifiers 1

IdentifierTypeStateIssuer
89126CRMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040405001787 NC Practitioner - Internal Medicine 0345233458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes and EndocrinologyGroup PAC ID 1355334467, 5 clinicians

Practice addresses (Care Compare)

1304 Commerce Dr
New Bern, NC 28562-2212
Phone (252) 649-1944

623 N 35TH St
Morehead City, NC 28557-3126
Phone (252) 222-5700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25724NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes & Endocrinology Endocrinology, Diabetes & Metabolism CurrentSince Mar 17, 2004 Accepting new patients

Locations

611 N 35th St
Morehead City, NC 28557
Phone (252) 222-5700

623 N 35th St
Morehead City, NC 28557
Phone (252) 222-5700

Interoperability endpoints

  • Direct secure messaging: kathryn.lucas.1@20887.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1407892441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N 35TH ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573126",
            "telephone_number": "252-222-5700",
            "fax_number": "252-222-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N 35TH ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573126",
            "telephone_number": "252-222-5700",
            "fax_number": "252-222-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "KATHRYN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "25724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126CR",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.