NPIMap

Individual provider Active NPI

Lucas Matthew Drake, M.D.

  • Gastroenterology Physician
  • Indianapolis, IN
National Provider Identifier
1629152152
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01069652A Issued in IN
Practice address
8051 South Emerson Ave
Indianapolis, IN 46237-8632
Phone
(317) 865-2955
Fax
(317) 865-2944
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 01069652A IN Primary

Addresses

Primary practice location

8051 South Emerson Ave
Indianapolis, IN 46237-8632

Mailing address

8051 South Emerson Ave
Suite 200
Indianapolis, IN 46237-8632
Phone (317) 865-2955

Other identifiers 2

IdentifierTypeStateIssuer
201023420MedicaidIN
M400049541OtherINMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110708000332 IN Practitioner - GastroenterologyPractitioner - Internal Medicine 4587842893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Indiana University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indianapolis Gastroenterology LLCGroup PAC ID 0244201432, 18 clinicians

Practice addresses (Care Compare)

8051 S Emerson Ave
Suite 200
Indianapolis, IN 46237-8632
Phone 31786529554419

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
64.57
Promoting interoperability
99
Improvement activities
40
Cost
83.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy105
Upper gastrointestinal (GI) endoscopy for acid reflux228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01069652AINMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indianapolis Gastroenterology, LLC Gastroenterology CurrentSince Aug 1, 2011 Accepting new patients
The Endoscopy Center at St. Francis, LLC Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

8051 S Emerson Ave
Ste 150
Indianapolis, IN 46237
Phone (317) 857-4024

8051 S Emerson Ave
Ste 200
Indianapolis, IN 46237

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1d5dc169-f536-4ee1-9c67-c93c23521729/
  • Direct secure messaging: ldrake44694@direct.franciscanalliance.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1629152152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 SOUTH EMERSON AVE",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378632",
            "telephone_number": "317-865-2955",
            "fax_number": "317-865-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 SOUTH EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378632",
            "telephone_number": "317-865-2955",
            "fax_number": "317-865-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "LUCAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01069652A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201023420",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M400049541",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.