Individual provider Active NPI

Paul Lucas, MD

  • Vascular Surgery Physician
  • Baltimore, MD
National Provider Identifier
1528036589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D57620 Issued in MD
Practice address
301 Saint Paul St
5TH Floor
Baltimore, MD 21202-2102
Phone
(410) 332-9404
Fax
(410) 347-5599
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X D57620 MD Primary

Addresses

Primary practice location

301 Saint Paul St
5TH Floor
Baltimore, MD 21202-2102

Mailing address

PO Box 64028
Baltimore, MD 21264-4028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100310000777 MD Practitioner - Vascular Surgery 3870638182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vein and Vascular Institute of Central MarylandGroup PAC ID 9436485042, 3 clinicians
Vascular Specialty Services, LLCGroup PAC ID 2466443197, 7 clinicians

Practice addresses (Care Compare)

1300 York Rd
Suite 200
Lutherville Timonium, MD 21093-6090
Phone (667) 206-2343

301 Saint Paul St
FL 5
Baltimore, MD 21202-2102
Phone (410) 332-9404

Hospital & facility affiliations

  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008

Merit-based Incentive Payment System (MIPS)

Final score
92.01 of 100Reported as group
Quality
93.41
Promoting interoperability
100
Improvement activities
40
Cost
79.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal58
Leg revascularization (restoring blood flow)32
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D57620MDMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vein and Vascular Institute of Central Maryland Vascular Surgery CurrentSince Jun 22, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1300 York Rd
Bldg C
Luthvle Timon, MD 21093
Phone (410) 371-1430

1300 York Rd
Ste 200
Timonium, MD 21093
Phone (410) 583-9675

Interoperability endpoints

  • Direct secure messaging: plucasmd6566@direct.mdmercy.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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528036589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64028",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL ST",
            "address_2": "5TH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-332-9404",
            "fax_number": "410-347-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D57620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.