Individual provider Active NPI

Kent Vincent Lucas, MD

  • Internal Medicine Physician
  • New Bern, NC
National Provider Identifier
1619923836
Registry record updated May 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9900091 Issued in NC
Practice address
702 Newman Rd
New Bern, NC 28562-5238
Phone
(252) 633-5333
Fax
(252) 633-9443
NPI assigned
May 26, 2006
Last updated
May 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9900091 NC Primary

Addresses

Primary practice location

702 Newman Rd
New Bern, NC 28562-5238

Mailing address

PO Box 12248
New Bern, NC 28561-2248
Phone (252) 633-5333

Other identifiers 2

IdentifierTypeStateIssuer
891211HMedicaidNC
1211HOtherNCBCBS OF NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20041222000466 NC Practitioner - Internal Medicine 5294793238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JC Edwards School of Medicine, Marshall University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Health Care PAGroup PAC ID 9739087693, 122 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1000 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-3278

1020 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 514-6685

1030 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-3278

1040 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 638-2273

2654 M L King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 637-0093

670 Cardinal Rd
New Bern, NC 28562-5201
Phone (252) 636-6222

702 Newman Rd
New Bern, NC 28562-5238
Phone (252) 633-5333

730 Newman Rd
New Bern, NC 28562-5238
Phone (252) 634-9090

900 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 639-5959

941 Newman Rd
New Bern, NC 28562-5252
Phone (252) 639-5955

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Health Care PA Current Accepting new patients
Coastal Carolina Health Care PA Internal Medicine CurrentSince Jul 19, 1999 Accepting new patients
Coastal Carolina Health Care PA CurrentSince Jul 19, 1999 Accepting new patients

Locations

1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

702 Newman Rd
New Bern, NC 28562
Phone (252) 633-5333

Interoperability endpoints

  • Direct secure messaging: klucas27218@coastalcarolinahealthcenter.gardenplot.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304726400000",
    "number": "1619923836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12248",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612248",
            "telephone_number": "252-633-5333",
            "fax_number": "252-633-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625238",
            "telephone_number": "252-633-5333",
            "fax_number": "252-633-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "KENT",
        "middle_name": "VINCENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9900091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891211H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1211H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.