Active NPI
Charles H Loucraft Jr., PA
- Physician Assistant
- Leominster, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 639
- Practice address
- 60 Hospital Rd
Leominster, MA 01453-2205 - Phone
- (978) 466-2994
- Fax
- (978) 466-2993
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 639 | MA | Primary |
Addresses
Primary practice location
60 Hospital Rd
Leominster, MA 01453-2205
Mailing address
60 Hospital Rd
Leominster, MA 01453-2205
Phone (978) 466-2994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1574 Main St
Tewksbury, MA 01876-2067
Phone (978) 323-5945
198 Littleton Rd
Suite 101
Westford, MA 01886-3429
Phone (978) 323-0302
199 Boston Rd
North Billerica, MA 01862-2328
Phone (978) 323-2850
9 Loon Hill Rd
Dracut, MA 01826-4365
Phone (978) 323-5900
Hospital & facility affiliations
- Lowell General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 639 | MA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LGH Professional Services LLC | Past | Accepting new patients | |
| Caritas Medical Group, Inc | Past | Accepting new patients |
Interoperability endpoints
- cloucraft47090@tuftsmedicine.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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Westford, MA
- NPI 1710392683
-
- Emergency Medicine Physician
- Brighton, MA
- NPI 1902012511
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1417485541
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699865899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 HOSPITAL RD",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532205",
"telephone_number": "978-466-2994",
"fax_number": "978-466-2993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HOSPITAL RD",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532205",
"telephone_number": "978-466-2994",
"fax_number": "978-466-2993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUCRAFT",
"first_name": "CHARLES",
"middle_name": "H",
"name_suffix": "Jr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.