NPIMap

Individual provider Active NPI

Adam Keith Lucich, D.O.

  • Family Medicine Physician
  • Hermitage, PA
National Provider Identifier
1457551301
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OT012282 Issued in PA
Practice address
449 N Hermitage Rd
Hermitage, PA 16148-3342
Phone
(724) 962-3528
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT012282 PA Primary

Addresses

Primary practice location

449 N Hermitage Rd
Hermitage, PA 16148-3342

Mailing address

449 N Hermitage Rd
Hermitage, PA 16148-3342
Phone (724) 962-3528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824000985 PA Practitioner - Family Practice 8022132307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

428 S Main St
Greenville Surgical Associates
Greenville, PA 16125-1748
Phone (724) 588-6660

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Butler, PA, CCN 398146
  • Upmc Home Healthcare Home health agency, Seven Fields, PA, CCN 397636
  • Upmc Horizon Hospital, Greenville, PA, CCN 390178
  • Upmc Jameson Hospital, New Castle, PA, CCN 390016
  • Sharon Regional Medical Center Hospital, Sharon, PA, CCN 390211

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT012282PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medicine Inc CurrentSince Jul 1, 2010 Accepting new patients
Upmc Community Medcine Inc Family Medicine CurrentSince Jul 1, 2010 Accepting new patients
Upmc Community Medicine Inc Family Medicine Past Accepting new patients

Locations

2200 Memorial Dr
Farrell, PA 16121
Phone (724) 981-3500

428 S Main St
Greenville, PA 16125
Phone (724) 588-6660

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

449 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 347-4099

449 N Hermitage Rd
#B
Hermitage, PA 16148
Phone (724) 347-6660

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Interoperability endpoints

  • Direct secure messaging: adam.k.lucich@upmcdirect.com

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1457551301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 N HERMITAGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483342",
            "telephone_number": "724-962-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 N HERMITAGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483342",
            "telephone_number": "724-962-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCICH",
        "first_name": "ADAM",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT012282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.