Individual provider Active NPI

Luciano Mancera, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Austin, TX
National Provider Identifier
1417481326
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
S5696 Issued in TX
Practice address
2315 W Ben White Blvd
Austin, TX 78704-7524
Phone
(512) 326-5440
Fax
(512) 326-8660
NPI assigned
Apr 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 321255 LA
Sports Medicine (Family Medicine) Physician 207QS0010X S5696 TX Primary

Addresses

Primary practice location

2315 W Ben White Blvd
Austin, TX 78704-7524

Mailing address

2315 W Ben White Blvd
Austin, TX 78704-7524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231114000751 TX Practitioner - Sports Medicine 6901177450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Care Physicians PAGroup PAC ID 9436133923, 4 clinicians

Practice addresses (Care Compare)

2315 W Ben White Blvd
Austin, TX 78704-7524
Phone (512) 326-5440

Merit-based Incentive Payment System (MIPS)

Final score
96.05 of 100Reported as group
Quality
82.12
Promoting interoperability
100
Improvement activities
40
Cost
71.37

Merit-based Incentive Payment System (MIPS)

Final score
90.66 of 100Reported as group
Quality
81.32
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care Physicians, PA CurrentSince Dec 4, 2023 Accepting new patients
Lsuhn Billing LLC CurrentSince Sep 1, 2021 Accepting new patients
Lsuhn Billing LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

3401 North Blvd
Ste 200
Baton Rouge, LA 70806
Phone (225) 336-3100

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

2315 W Ben White Blvd
Austin, TX 78704
Phone 5123265440206

Interoperability endpoints

  • Direct secure messaging: lmancera37304@direct.uth.org

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1417481326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W BEN WHITE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 W BEN WHITE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047524",
            "telephone_number": "512-326-5440",
            "fax_number": "512-326-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCERA",
        "first_name": "LUCIANO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "LA",
            "license": "321255",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "S5696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.