Active NPI
Dragos C Luca, MD
- Anatomic Pathology & Clinical Pathology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD18279
- Practice address
- 2525 Chicago Ave South
Childrens Hospitals and Clinics Pathology MPLS
Minneapolis, MN 55404 - Phone
- (612) 813-6280
- Fax
- (612) 813-6951
- NPI assigned
- Nov 7, 2006
- Last updated
- Mar 29, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Pathology) Physician | 207ZH0000X | 49092 | MN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 49092 | MN | |
| Pediatric Pathology Physician | 207ZP0213X | 49092 | MN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD18279 | RI | Primary |
Addresses
Primary practice location
2525 Chicago Ave South
Childrens Hospitals and Clinics Pathology MPLS
Minneapolis, MN 55404
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779
Other practice location 1
593 Eddy Street APC 12
Providence, RI 02903
Phone (401) 444-5057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34899100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Friendship St
Newport, RI 02840-2209
Phone (401) 845-1110
164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-7245
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-3777
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49092 | MN | MD | Hematology (Pathology) Physician |
| MD18279 | RI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Hospital | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Rhode Island Hospital | Hematology | Current | Accepting new patients |
| Newport Hospital | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| The Miriam Hospital | Hematology | Current | Accepting new patients |
| The Miriam Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| University Pathologists Diagnostics LLC | Past | Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
11 Friendship St
Newport, RI 02840
Phone (401) 845-1110
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
164 Summit Ave
Ste C
Providence, RI 02906
Phone (401) 793-2931
593 Eddy St
Providence, RI 02903
593 Eddy St
#12
Providence, RI 02903
Phone (401) 444-5057
593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280
Organizations & group practices 9
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.
-
- Obstetrics & Gynecology Physician
- Newport, RI
- NPI 1063632180
Anatomic Pathology & Clinical Pathology
-
- Emergency Medicine Physician
- Newport, RI
- NPI 1356441562
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Cardiac Rehabilitation Clinic/Center
- East Greenwich, RI
- NPI 1518482389
-
- General Acute Care Hospital
- Providence, RI
- NPI 1770520462
-
- Clinical Medical Laboratory
- Somerset, MA
- NPI 1881916682
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1417026832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST STE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 CHICAGO AVE SOUTH",
"address_2": "CHILDRENS HOSPITALS AND CLINICS PATHOLOGY MPLS",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55404",
"telephone_number": "612-813-6280",
"fax_number": "612-813-6951"
}
],
"practiceLocations": [
{
"address_1": "593 Eddy Street APC 12",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "02903",
"country_code": "US",
"telephone_number": "401-444-5057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCA",
"first_name": "DRAGOS",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2024-03-29",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "MN",
"license": "49092",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MN",
"license": "49092",
"primary": false
},
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "MN",
"license": "49092",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "RI",
"license": "MD18279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34899100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.