Walter David Luce, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26387 Issued in CO

Practice address

11547 E 25TH Ave
Aurora, CO 80010-1273

Phone

(303) 444-5689

Fax

(303) 449-2933

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 1, 2008 through Jun 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• W David Luce MD PC

  • Internal Medicine Physician
  • Boulder, CO
  • NPI 1730205147
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1679564918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11547 E 25TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101273",
            "telephone_number": "303-444-5689",
            "fax_number": "303-449-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11547 E 25TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101273",
            "telephone_number": "303-444-5689",
            "fax_number": "303-449-2933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "885 Arapahoe Ave",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803026011",
            "country_code": "US",
            "telephone_number": "303-444-5689",
            "fax_number": "303-449-2933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCE",
        "first_name": "WALTER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "26387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Anne Lucas, MD
• Hayley Lucci-Rimer
• Chad Michael Lucci, PA-C
• Betsy Luce
• Crystal Luce
• Abigail Lucero
• Aundria Lucero
• Jessica Lucero, LMT
• Leeann Y Lucero, RN
• Matthew Anthony Lucero, DMD

• Internal Medicine Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.