Active NPI
Ryan Neil Lucas, MD
- Family Medicine Physician
- Colville, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD61568635
- Practice address
- 1200 E Columbia Ave
Colville, WA 99114-3354 - Phone
- (509) 684-3701
- Fax
- (509) 684-5817
- NPI assigned
- Mar 28, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD61568635 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1200 E Columbia Ave
Colville, WA 99114-3354
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Colville Medical Center PS
Practice addresses (Care Compare)
1200 E Columbia Ave
Colville, WA 99114-3354
Phone (509) 684-3701
840 S Meyers St
Kettle Falls, WA 99141-7005
Phone (509) 685-7848
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 11 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Family Medicine | Current | Accepting new patients |
Locations
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
624 E Front Ave
Spokane, WA 99202
Phone (509) 626-9900
Interoperability endpoints
- rlucas1668081@wm.providencedirect.org
Organizations & group practices 2
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.
-
dba Providence Medical Group
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
Family Medicine
-
dba PMG PHC Providence Express Care
- General Practice Physician
- Spokane, WA
- NPI 1306391446
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Assured Home Health
- Home Health Agency
- Spokane Valley, WA
- NPI 1336379015
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
-
dba Providence Mount Carmel Hospital
- Critical Access Hospital
- Colville, WA
- NPI 1003067679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1447837042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E COLUMBIA AVE",
"city": "COLVILLE",
"state": "WA",
"postal_code": "991143354",
"telephone_number": "509-684-3701",
"fax_number": "509-684-5817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "RYAN",
"middle_name": "NEIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-28",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61568635",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.