Divini Luccioni, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

15213R Issued in LA

Practice address

76 Shady Lane Dr
Slidell, LA 70461-1538

Phone

(504) 444-1668

Fax

(504) 444-1668

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Professional Anesthesia Consultants, LLP

  • Anesthesiology Physician
  • Alexandria, LA
  • NPI 1720071525
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1508837097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SHADY LANE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704611538",
            "telephone_number": "504-444-1668",
            "fax_number": "504-444-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SHADY LANE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704611538",
            "telephone_number": "504-444-1668",
            "fax_number": "504-444-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCCIONI",
        "first_name": "DIVINI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "15213R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1163082",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loving Hands Assisted Living
• Loving Hearts Northshore
• Loving Hearts Northshore
• Rodney C Lowe, CRNA
• LTAC Hospital of Washington-St. Tammany LLC
• Keith J Luper, DPM
• Joanna Lutman, OTR/L
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Nicole Lymuel, LPN

• Anesthesiology Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Anesthesiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.