Miguel A. Luciano Jr., PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006594 Issued in MI

Practice address

3100 Cross Creek Pkwy Ste 200
Auburn Hills, MI 48326-2776

Phone

(248) 484-2128

Fax

(248) 484-2129

NPI assigned

Feb 7, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rochester Knee and Sports Medicine PCGroup PAC ID 1355387564, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marlette Regional Hospital Hospital, Marlette, MI, CCN 231330
• Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Merit-based Incentive Payment System (MIPS)

Final score

78.53 of 100Reported as group

Quality

60.91

Promoting interoperability

98

Improvement activities

40

Cost

69.19

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jluciano1139613@direct.hfhs.org
• Direct secure messaging: miguel.luciano.1@16694.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.

• Rochester Knee & Sports Medicine, PC

  • Orthopaedic Surgery Physician
  • Auburn Hills, MI
  • NPI 1295816460

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Deckerville Community Hospital Inc

  • Critical Access Hospital
  • Deckerville, MI
  • NPI 1619095718
  Medicare reassignment
• Hills & Dales General Hospital, Inc.

  • Critical Access Hospital
  • Cass City, MI
  • NPI 1154367001
  Medicare reassignment
• Marlette Regional Hospital

  • Critical Access Hospital
  • Marlette, MI
  • NPI 1346325214
  Medicare reassignment
• Rochester Knee & Sports Medicine PC

  • Occupational Therapist
  • Auburn Hills, MI
  • NPI 1689037749
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Rochester Hospital

  • General Acute Care Hospital
  • Rochester, MI
  • NPI 1437176203
  Care Compare affiliation
• Marlette Regional Hospital

  • General Practice Physician
  • Marlette, MI
  • NPI 1043911449

  Hospital

  Care Compare affiliation
• Marlette Regional Hospital

  • Clinic/Center
  • Marlette, MI
  • NPI 1073385456

  Hospital

  Care Compare affiliation
• Marlette Regional Hospital

  • Family Medicine Physician
  • Marlette, MI
  • NPI 1225495013

  Hospital

  Care Compare affiliation
• Marlette Regional Hospital

  • Critical Access Hospital
  • Marlette, MI
  • NPI 1346325214
  Care Compare affiliation
• Marlette Regional Hospital

  • Family Medicine Physician
  • Marlette, MI
  • NPI 1730988999

  Hospital

  Care Compare affiliation
• Marlette Regional Hospital

  • Family Medicine Physician
  • Marlette, MI
  • NPI 1740062462

  Hospital

  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1629317888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY",
            "address_2": "STE 200",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262776",
            "telephone_number": "248-484-2128",
            "fax_number": "248-484-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY STE 200",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262776",
            "telephone_number": "248-484-2128",
            "fax_number": "248-484-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIANO",
        "first_name": "MIGUEL",
        "middle_name": "A.",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-07",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3100 Cross Creek Pkwy Ste 200",
            "city": "Auburn Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483262776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raquel Janee Love, LBSW
• Aaron Loynes, PT
• Tracy Loynes
• Devin David Lucas, MA, LLC
• Luci Clark Therapy PLLC
• Penny Luebs, LMSW, CAAC
• Sydney Elizabeth Lundwall, PT, DPT
• Marqueta Luster
• Emily Caitlin Lutz, LLMSW, SSW
• Luxottica of America Inc

• Physician Assistant in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.