Jose Antonio Lusancarez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01093411A Issued in IN

Practice address

5500 Hohman Ave
Hammond, IN 46320-1965

Phone

(219) 401-2969

NPI assigned

Aug 5, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jose Antonio Santiago Perez Former name

Medicare fee-for-service enrollment

Enrolled in FL, IL, IN3 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 3

Specialty

Internal Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jose.lusancarez.1@15548.direct.athenahealth.com

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.

• Tca Health Inc NFP

  • Federally Qualified Health Center (FQHC)
  • Hammond, IN
  • NPI 1093404576
  Medicare reassignment NPD
• PCC Medical Holdings LLC

  • Internal Medicine Physician
  • Lake Worth, FL
  • NPI 1174167993
  Medicare reassignment NPD
• Skyline Physicians LLC

  • Family Medicine Physician
  • Glen Ellyn, IL
  • NPI 1568704443
  Medicare reassignment NPD
• Tca Health Inc NFP

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1184757353
  Medicare reassignment NPD
• Live Better Health Center, LLC

  • Health Service Clinic/Center
  • Pinellas Park, FL
  • NPI 1669757738
  Medicare reassignment
• Ramon a Garcia MD PC

  • Gastroenterology Physician
  • Chicago, IL
  • NPI 1124178330
  Medicare reassignment
• LBH Med Group LLC

  • Health Service Clinic/Center
  • Pinellas Park, FL
  • NPI 1639620651
  NPD (past)

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1609180249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201965",
            "telephone_number": "219-401-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201965",
            "telephone_number": "219-401-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSANCAREZ",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-05",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01093411A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "TEM-COV19-20639",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "SANTIAGO PEREZ",
            "middle_name": "ANTONIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Delia B Lopez I, LCSW
• Loving Hands R on the Way LLC
• Jean M Lubeckis, LMHC, LCPC
• Amelia M Luckie, RN
• Barbara Lumbarkoski, FNP-C
• Teena Mabry, LCSW
• Thomas A Maclean Jr., R.PH.
• Gina Marie Maldonado
• Luis E Manyari, MD
• Jose D Mapalad, MD

• Family Medicine Physician in Hammond, IN
• Providers in Hammond, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.

Verify at the official NPI Registry.