NPIMap

Individual provider Active NPI

Prudencio Cuison Lucero, MD

  • Cardiovascular Disease Physician
  • Wexford, PA
National Provider Identifier
1497751887
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD050308L Issued in PA
Practice address
1000 Stonewood Dr
Ste 110
Wexford, PA 15090-8386
Phone
(724) 940-6000
Fax
(724) 940-6006
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD050308L PA Primary

Addresses

Primary practice location

1000 Stonewood Dr
Ste 110
Wexford, PA 15090-8386

Mailing address

1000 Stonewood Dr
Suite 110
Wexford, PA 15090-8386
Phone (724) 940-6000

Other identifiers 1

IdentifierTypeStateIssuer
01799697MedicaidPA

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
I20070920000349 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 5991899007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Stonewood Dr
Suite 110
Wexford, PA 15090-8386
Phone (724) 940-6000

Hospital & facility affiliations

  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107
  • Ahn Wexford Hospital Hospital, Wexford, PA, CCN 390334
  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168
  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036
  • Heritage Valley Sewickley Hospital, Sewickley, PA, CCN 390037

Merit-based Incentive Payment System (MIPS)

Final score
89.62 of 100Reported as individual
Quality
87.85
Improvement activities
40
Cost
76.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wexford Cardiology,Inc. Cardiovascular Disease CurrentSince Feb 1, 2013 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
North Hills Passavant Cardiology Associates PC Cardiovascular Disease Past Accepting new patients

Locations

9100 Babcock Blvd
Pittsburgh, PA 15237
Phone (412) 367-5589

1000 Stonewood Dr
Ste 110
Wexford, PA 15090
Phone (724) 940-2290

Interoperability endpoints

  • Direct secure messaging: lucero@wexfordcardiology.medentdirect.com

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1497751887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 STONEWOOD DR",
            "address_2": "SUITE 110",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908386",
            "telephone_number": "724-940-6000",
            "fax_number": "724-940-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 STONEWOOD DR",
            "address_2": "STE 110",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908386",
            "telephone_number": "724-940-6000",
            "fax_number": "724-940-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "PRUDENCIO",
        "middle_name": "CUISON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD050308L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01799697",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.