Active NPI
Stefano Luccioli, M.D.
- Allergy & Immunology Physician
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD30062
- Practice address
- 527 Maple Ave E
Suite 300
Vienna, VA 22180-4746 - Phone
- (703) 938-3900
- Fax
- (703) 938-9391
- NPI assigned
- May 8, 2007
- Last updated
- Feb 28, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101056775 | VA | |
| Specialist | 174400000X | D0059615 | MD | |
| Allergy & Immunology Physician | 207K00000X | MD30062 | DC | Primary |
Addresses
Primary practice location
527 Maple Ave E
Suite 300
Vienna, VA 22180-4746
Mailing address
527 Maple Ave E
Suite 300
Vienna, VA 22180-4746
Phone (703) 938-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- 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
- Allergy/Immunology
- Education
- Georgetown University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (703) 558-1400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.97 of 100
- Quality
- 72.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0059615 | MD | MD | Specialist |
| MD30062 | DC | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| Medstar Georgetown Medical Center, Inc | Past | Accepting new patients | |
| A2 Medical Group, Inc. | Specialist | Past | Accepting new patients |
| Allergy Care Centers of Virginia Inc | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
3800 Reservoir Rd NW
Fl 6
Washington, DC 20007
Phone (202) 687-8188
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Washington, DC
- NPI 1891797148
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
-
dba Allergy Care Centers/Allergy and Asthma Care Centers
- Specialist
- Vienna, VA
- NPI 1558651364
-
- Allergy Physician
- Vienna, VA
- NPI 1740228741
-
- Internal Medicine Physician
- Washington, DC
- NPI 1285636522
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Georgetown University Hospital
- General Acute Care Hospital
- Washington, DC
- NPI 1427145176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1538372198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 MAPLE AVE E",
"address_2": "SUITE 300",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804746",
"telephone_number": "703-938-3900",
"fax_number": "703-938-9391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 MAPLE AVE E",
"address_2": "SUITE 300",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804746",
"telephone_number": "703-938-3900",
"fax_number": "703-938-9391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCCIOLI",
"first_name": "STEFANO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101056775",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D0059615",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "DC",
"license": "MD30062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.