Active NPI
Marvin H Lucas, MD
- Internal Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35063533L
- Practice address
- 4803 Montgomery Rd Ste 120
Cincinnati, OH 45212-1153 - Phone
- (513) 631-2474
- Fax
- (513) 531-0862
- NPI assigned
- Apr 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35063533L | OH | Primary |
Addresses
Primary practice location
4803 Montgomery Rd Ste 120
Cincinnati, OH 45212-1153
Mailing address
4803 Montgomery Rd Ste 120
Cincinnati, OH 45212-1153
Phone (513) 631-2474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0987142 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mlucas1792@direct.thechristhospital.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Internal Medicine
- Education
- University of Cincinnati College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4803 Montgomery Rd
Suite 120
Cincinnati, OH 45212-1153
Phone (513) 631-2474
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35063533L | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Physicians Company, LLC | Internal Medicine | Current | Accepting new patients |
| The Christ Hospital Medical Associates, III | Internal Medicine | Current | Accepting new patients |
| The Christ Hospital Medical Associates, LLC | Internal Medicine | Current | Accepting new patients |
| Waterbury Hospital | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
4803 Montgomery Rd
Ste 120
Cincinnati, OH 45212
Phone (513) 631-2474
2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833
2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500
4750 E Galbraith Rd
Ste 20
Cincinnati, OH 45236
Phone (513) 686-4800
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
237 William Howard Taft Rd
#2
Cincinnati, OH 45219
Phone (513) 263-9157
4750 E Galbraith Rd
Ste 210
Cincinnati, OH 45236
Phone (513) 215-8825
4803 Montgomery Rd
Ste 207
Cincinnati, OH 45212
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
Organizations & group practices 5
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 Tchma
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1114107919
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1578862843
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
Internal Medicine
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1184615114
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
dba The Jewish Hospital - Mercy Health
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1336478163
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
-
dba Alliance Medical Transport Service
- Ambulance
- Cincinnati, OH
- NPI 1689618423
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1508820234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4803 MONTGOMERY RD STE 120",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452121153",
"telephone_number": "513-631-2474",
"fax_number": "513-531-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4803 MONTGOMERY RD STE 120",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452121153",
"telephone_number": "513-631-2474",
"fax_number": "513-531-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "MARVIN",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35063533L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0987142",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlucas1792@direct.thechristhospital.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4803 Montgomery Rd Ste 120",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452121153",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.