Lucas W Kuehn, MD
Individual provider Active NPI Family Medicine Physician · Waunakee, WI
NPI 1609263128 · NPPES record last updated Dec 4, 2020
Key facts
- NPI
- 1609263128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 67181-20 (WI)
- Practice address
- 1300 S Century Ave
Waunakee, WI 53597-2386 - Phone
- (431) 560-8849
- Fax
- (608) 850-1606
- NPI assigned
- Apr 22, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 7
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Wisconsin School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dean Health Systems Inc
Practice addresses (Care Compare)
752 N High Point Rd
Madison, WI 53717-2236
Phone (608) 824-4000
Hospital & facility affiliations
- SSM Health at Home Home Health-Wisconsin
- Aveanna Home Health
- Agrace Hospicecare
- SSM Health St Mary'S Hospital - Madison
- SSM Health St Clare Hospital - Baraboo
- Waunakee Valley Senior Living
- Oak Park Nursing and Rehab Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Waunakee Valley Senior Living |
Skilled nursing facility | Adp of the SNF | Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170614002581 | WI | Practitioner - Family Practice | 6305156449 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67181-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc. | Current |
Accepting new patients | |
| Dean Health Systems, Inc | Family Medicine | Current |
Accepting new patients |
Locations
752 N High Point Rd
Madison, WI 53717
Phone (608) 824-4000
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
1300 S Century Ave
Waunakee, WI 53597
Phone (608) 849-4315
Interoperability endpoints
- lkuehn261182@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 67181-20 | WI | Yes |
Addresses
Primary practice location
1300 S Century Ave
Waunakee, WI 53597-2386
Mailing address
1300 S Century Ave
Waunakee, WI 53597-2386
Phone (431) 560-8849
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609263128 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lkuehn261182@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Other providers in Waunakee, WI
- Kristen L Knox
- Cheryl Koelling
- Lea Kraus
- Collin John Kreple
- Makenzie Kriz
- Paula Lee
- Karen Leemon
- Amy Lynn Lewis
- Little Strokes Swim Academy LLC
- Margaret Carol Lombardi
All providers in Waunakee, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.