Active NPI
Michael John Luca Jr., D.O.
- Critical Care Medicine (Internal Medicine) Physician
- Jacksonville, FL
National Provider Identifier
1720344534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- OS24184
- Practice address
- 3 Shircliff Way Ste 625
Jacksonville, FL 32204-4776 - Phone
- (904) 308-6900
- Fax
- (904) 308-6927
- NPI assigned
- Apr 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | OS24184 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | L200550772430 | FL | |
| Pulmonary Disease Physician | 207RP1001X | 0102203537 | VA |
Addresses
Primary practice location
3 Shircliff Way Ste 625
Jacksonville, FL 32204-4776
Mailing address
3 Shircliff Way Ste 625
Jacksonville, FL 32204-4776
Phone (904) 308-6900
Other practice location 1
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-3149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Nova Southeastern College of Osteo Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673
3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L200550772430 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Pulmonary Disease | Current | Accepting new patients |
| Bayview Physician Services, PC | Pulmonary Disease | Current | Accepting new patients |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients |
Locations
3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
612 Kingsborough Sq
Ste 200
Chesapeake, VA 23320
Phone (757) 436-0167
3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
Interoperability endpoints
- mluca2584267@direct.bsmhealth.org
- michael.luca@bayview.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
Pulmonary Disease
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
Pulmonary Disease
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
-
- Durable Medical Equipment & Medical Supplies
- Franklin, VA
- NPI 1205451028
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1720344534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SHIRCLIFF WAY STE 625",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044776",
"telephone_number": "904-308-6900",
"fax_number": "904-308-6927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SHIRCLIFF WAY STE 625",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044776",
"telephone_number": "904-308-6900",
"fax_number": "904-308-6927"
}
],
"practiceLocations": [
{
"address_1": "620 John Paul Jones Cir",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237082111",
"country_code": "US",
"telephone_number": "757-953-3149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCA",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-05",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "OS24184",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "L200550772430",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0102203537",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.