Andrew Seth Luciano, M.D.
Individual provider Active NPI Family Medicine Physician · Kalamazoo, MI
NPI 1467766907 · NPPES record last updated Oct 2, 2019
Key facts
- NPI
- 1467766907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301105119 (MI)
- Practice address
- 117 W Paterson St
Kalamazoo, MI 49007 - Phone
- (269) 349-2641
- NPI assigned
- Jul 26, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Western Michigan University School of Medicine
Family Health Center, Inc.
Practice addresses (Care Compare)
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-4347
117 W Paterson St
Kalamazoo, MI 49007-2557
Phone (269) 349-2641
117 W Patterson
Kalamazoo, MI 49007-2557
Hospital & facility affiliations
- Bronson Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.1 of 100
- Quality
- 85.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.4
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140806000240 | MI | Practitioner - Family Practice | 3173765237 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301105119 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Michigan University School of Medicine | Current |
Accepting new patients | |
| Family Health Center Inc | Current |
Accepting new patients | |
| Family Health Center Inc | Current |
Accepting new patients | |
| Michigan State University Kalamazoo Center for Medical Studies | Past | Accepting new patients | |
| Bronson Methodist Hospital | Past | Accepting new patients |
Locations
117 W Paterson St
Kalamazoo, MI 49007
1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347
505 E Alcott St
Kalamazoo, MI 49001
Phone 2693492641 ext. 715
555 W Crosstown Pkwy
Ste 200
Kalamazoo, MI 49008
Phone (269) 337-6500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301105119 | MI | Yes |
Addresses
Primary practice location
117 W Paterson St
Kalamazoo, MI 49007
Mailing address
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Other practice location 1
1174 W Michigan Ave
Marshall, MI 49068-1497
Phone (269) 781-9867
NPI Registry JSON
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1467766907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 OAKLAND DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W PATERSON ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49007",
"telephone_number": "269-349-2641"
}
],
"practiceLocations": [
{
"address_1": "1174 W Michigan Ave",
"address_purpose": "LOCATION",
"city": "Marshall",
"state": "MI",
"postal_code": "490681497",
"country_code": "US",
"telephone_number": "269-781-9867",
"fax_number": "269-781-9126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCIANO",
"first_name": "ANDREW",
"middle_name": "SETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-26",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301105119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
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- Chase Lucas
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- Shanika Lee-Monay Lucas
- Ayanna Luckett
- Nicholas Lucking
- Chelsie Luczkowski
- Jessica Rae Ludeker
- Ayla Ludwig
All providers in Kalamazoo, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.