Individual provider Active NPI

Jared Bennington Lucas, M.D.

  • Emergency Medicine Physician
  • Washington, DC
National Provider Identifier
1528487295
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD046237 Issued in DC
Practice address
700 2ND St NE
Washington, DC 20002-8100
Phone
(202) 346-3000
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD046237 DC Primary

Addresses

Primary practice location

700 2ND St NE
Washington, DC 20002-8100

Mailing address

1733 11TH St NW
Washington, DC 20001-5012
Phone (301) 996-1643

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, TX, MN, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180831000137 DC Practitioner - Emergency Medicine 1052613841 Reassigns benefits to 3 organizations
I20230228002613 TX Practitioner - General Practice 1052613841 Reassigns benefits to 1 organization
I20230607001114 MN Practitioner - Emergency Medicine 1052613841 Reassigns benefits to 1 organization
I20230613002841 OH Practitioner - Emergency Medicine 1052613841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Perelman School of Med at the University of Pennsylvania, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD046237DCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Family Medicine CurrentSince Mar 8, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Mar 8, 2021 Accepting new patients
Cirrusmd Medical Group of Delaware, P.a. Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Medical Faculty Associates, Inc Emergency Medicine CurrentSince Jul 26, 2018 Accepting new patients
Medical Faculty Associates, Inc. Emergency Medicine Past Accepting new patients

Locations

3000 Lawrence St
Ste 101
Denver, CO 80205

3513 Brighton Blvd
Ste 230
Denver, CO 80216
Phone (303) 653-7720

3000 Lawrence St
#101
Denver, CO 80205
Phone (720) 996-0522

2120 L St NW
Ste 450
Washington, DC 20037
Phone (202) 741-2904

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

700 2nd St NE
Washington, DC 20002
Phone (202) 346-3000

6844 Bardstown Rd
Louisville, KY 40291
Phone (216) 303-1265

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

2136 Ford Pkwy
Ste 5345
Saint Paul, MN 55116

865 State Route 33
Ste 3
Freehold, NJ 07728
Phone (424) 292-2923

1985 Henderson Rd
Columbus, OH 43220
Phone (419) 377-0591

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1528487295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 11TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200015012",
            "telephone_number": "301-996-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 2ND ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200028100",
            "telephone_number": "202-346-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JARED",
        "middle_name": "BENNINGTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD046237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2120 L St NW Ste 450",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "20037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.