Individual provider Active NPI

Dominic John Thomas Lucia, M.D

  • Emergency Medicine Physician
  • Temple, TX
National Provider Identifier
1629254099
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M8142 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-0001
Phone
(254) 760-7523
NPI assigned
Jan 16, 2008
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M8142 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-0001

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlucia11226@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090325000558 TX Practitioner - Emergency Medicine 3476610007 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Emergency Medicine CurrentSince Aug 29, 2011 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Scott & White Clinic Emergency Medicine CurrentSince Aug 29, 2011 Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

Interoperability endpoints

  • Direct secure messaging: dlucia11226@direct.sw.org

Ownership & related parties

All facility ownership & control disclosures 20

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baylor Scott & White Medical Center - TempleTemple, TX, CCN 450054 Hospital Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Medical Center - TaylorTaylor, TX, CCN 451374 Hospital Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Continuing Care HospitalTemple, TX, CCN 452105 Hospital Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Medical Center - Round RockRound Rock, TX, CCN 670034 Hospital Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Medical Center TaylorTaylor, TX, CCN 45Z374 Hospital Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Medical Center - College StationCollege Station, TX, CCN 670088 Hospital Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX, CCN 670108 Hospital Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Medical Center - PflugervillePflugerville, TX, CCN 670128 Hospital Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Medical Center - BudaBuda, TX, CCN 670131 Hospital Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Medical Center - AustinAustin, TX, CCN 670136 Hospital Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Continuing Care HospitalTemple, TX, CCN 455069 Skilled nursing facility Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Hospice - TempleTemple, TX, CCN 451691 Hospice Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Hospice - WacoWaco, TX, CCN 451569 Hospice Operational/Managerial Control Dec 4, 2020
Baylor Scott & White - the Brenham ClinicBrenham, TX, CCN 673942 Rural health clinic Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Clinic - Horseshoe BayHorseshoe Bay, TX, CCN 458839 Rural health clinic Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Clinic - KingslandKingsland, TX, CCN 458686 Rural health clinic Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Clinic - Johnson CityJohnson City, TX, CCN 673417 Rural health clinic Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Clinic - San SabaSan Saba, TX, CCN 458799 Rural health clinic Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Clinic - Marble FallsMarble Falls, TX, CCN 458693 Rural health clinic Operational/Managerial Control Dec 4, 2020
Baylor Scott & White Clinic - LlanoLlano, TX, CCN 453413 Rural health clinic Operational/Managerial Control Dec 4, 2020

Owned or controlled facilities with NPI records 22

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 22

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.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1629254099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-760-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIA",
        "first_name": "DOMINIC",
        "middle_name": "JOHN THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M8142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlucia11226@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.