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

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (76 clinicians)
Family Health Center, Inc. (51 clinicians)

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 Hospital · Kalamazoo, MI · CCN 230017

Merit-based Incentive Payment System (MIPS)

Final score
97.1 of 100 (group)
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

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 IDStateProvider typePAC IDDetails
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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301105119MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Michigan University School of Medicine Current
since Nov 1, 2018
Accepting new patients
Family Health Center Inc Current
since Sep 1, 2018
Accepting new patients
Family Health Center Inc Current
since Sep 1, 2018
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 2, 2019.

{
    "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

All providers in Kalamazoo, MI · Family Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.