Individual provider Active NPI

Diane N Lusas, M.D.

  • Surgery Physician
  • Norwalk, CT
National Provider Identifier
1730475658
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
054932 Issued in CT
Practice address
34 Midrocks Dr
Norwalk, CT 06851-1626
Phone
(732) 451-4318
Fax
(888) 974-0983
NPI assigned
Jun 20, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 054932 CT Primary

Addresses

Primary practice location

34 Midrocks Dr
Norwalk, CT 06851-1626

Mailing address

492C Cedar LN Ste 514
Teaneck, NJ 07666-1713
Phone (203) 206-3453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NJ, NY, PA, RI, MA, MN, NC, TN, VA, AL, FL, VT, MD, IL, KY, DC, AR, SC, NH, OH, WI22 enrollments
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 22

Enrollment IDStateProvider typePAC IDDetails
I20160519001057 CT Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
Practice locations: Waterbury, CT
I20161021000053 NJ Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
I20161108001492 NY Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
Practice locations: Scarsdale, NY
I20171020000404 PA Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
I20171030002765 RI Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
Practice locations: Providence, RI
I20180814000732 MA Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
I20190314001341 MN Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
I20190612001028 NC Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
I20190730002842 TN Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
I20191209001817 VA Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
I20210113002528 AL Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
I20210528001847 FL Practitioner - General Practice 9032430640 Reassigns benefits to 1 organization
I20210804003560 VT Practitioner - General Practice 9032430640 Reassigns benefits to 1 organization
I20211228001465 MD Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
I20220302001939 IL Practitioner - General Practice 9032430640
I20220511001753 KY Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
I20220726000185 DC Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
I20220929003430 AR Practitioner - General Practice 9032430640 Reassigns benefits to 1 organization
I20230718003021 SC Practitioner - General Practice 9032430640
I20240109002138 NH Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
I20240327002381 OH Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization
I20260227003528 WI Practitioner - General Surgery 9032430640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Care Tennessee PLLCGroup PAC ID 8527394477, 19 clinicians
Integrated Wound Care New York Medical PLLCGroup PAC ID 4486086790, 7 clinicians
Integrated Wound Care New JerseyGroup PAC ID 8820359342, 5 clinicians
Integrated Wound Care Rhode Island PLLCGroup PAC ID 2668712928, 4 clinicians
Integrated Wound Care Connecticut, PLLCGroup PAC ID 0042572893, 4 clinicians

Practice addresses (Care Compare)

141 N McLean Blvd
Memphis, TN 38104-2693
Phone (201) 870-1194

3457 Nostrand Ave
Brooklyn, NY 11229-5131
Phone (718) 705-6010

350 Oxford Rd
Oxford, NJ 07863-3224
Phone (718) 705-6010

50 Maude St
Providence, RI 02908-4325
Phone (718) 705-6010

930 Mill Hill Ter
Southport, CT 06890-1265
Phone (718) 705-6010

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.98

Merit-based Incentive Payment System (MIPS)

Final score
97.61 of 100Reported as group
Quality
95
Improvement activities
40
Cost
65.38

Merit-based Incentive Payment System (MIPS)

Final score
61.26 of 100Reported as group
Quality
75.9
Promoting interoperability
0
Improvement activities
20
Cost
69.96

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.91

Merit-based Incentive Payment System (MIPS)

Final score
62.21 of 100Reported as group
Quality
79.66
Promoting interoperability
0
Improvement activities
20
Cost
69.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal of skin lesions14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054932CTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Care New Jersey CurrentSince Jan 1, 2018 Accepting new patients
Integrated Wound Care New Hampshire PLLC CurrentSince Oct 21, 2023 Accepting new patients
Integrated Wound Care Vermont PLLC CurrentSince Jun 16, 2021 Accepting new patients
Integrated Wound Care Kentucky PLLC CurrentSince Feb 1, 2022 Accepting new patients
Integrated Wound Care Maryland LLC CurrentSince Sep 15, 2019 Accepting new patients
Integrated Wound Care Wisconsin Medical LLC CurrentSince Jun 1, 2025 Accepting new patients
Integrated Wound Care Minnesota PLLC CurrentSince Jan 27, 2019 Accepting new patients
Integrated Wound Care Tennessee PLLC CurrentSince Apr 20, 2019 Accepting new patients
Integrated Wound Care Ohio LLC CurrentSince Feb 11, 2024 Accepting new patients
Integrated Wound Care Virginia PLLC CurrentSince Sep 15, 2019 Accepting new patients
Integrated Wound Care Massachusetts PLLC CurrentSince Nov 25, 2018 Accepting new patients
Integrated Wound Care Pennsylvania PLLC CurrentSince Dec 13, 2018 Accepting new patients
Integrated Wound Care Alabama PLLC CurrentSince Dec 10, 2020 Accepting new patients
Integrated Wound Care New York Medical PLLC CurrentSince Aug 28, 2019 Accepting new patients
Integrated Wound Care Connecticut PLLC CurrentSince Jan 1, 2018 Accepting new patients
Integrated Wound Care Arkansas PLLC CurrentSince Jul 1, 2022 Accepting new patients
Integrated Wound Care Rhode Island PLLC CurrentSince Feb 3, 2019 Accepting new patients
Integrated Wound Care North Carolina PLLC CurrentSince Apr 7, 2019 Accepting new patients
Integrated Wound Care Management Wisconsin LLC PastSince Sep 21, 2019 Accepting new patients
Integrated Podiatry Services, PC Past Accepting new patients

Locations

641 S Lawrence St
Montgomery, AL 36104
Phone (800) 221-5140

610 S Avalon St
West Memphis, AR 72301
Phone (870) 400-3481

930 Mill Hill Ter
Southport, CT 06890
Phone (203) 259-7894

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

85 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 535-2300

7700 Grand Ave
Duluth, MN 55807
Phone (218) 628-2341

115 N Country Club Rd
Brevard, NC 28712
Phone (828) 553-2546

928 South St
Portsmouth, NH 03801
Phone (603) 373-0096

350 Oxford Rd
Oxford, NJ 07863
Phone (908) 453-7700

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

3457 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 535-5100

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

2770 Clime Rd
Columbus, OH 43223
Phone (614) 276-8222

4400 W Girard Ave
Philadelphia, PA 19104
Phone (215) 477-1170

50 Maude St
Providence, RI 02908
Phone (401) 456-2200

141 N McLean Blvd
Memphis, TN 38104
Phone (901) 276-2020

324 King George Ave SW
Roanoke, VA 24016
Phone (540) 309-9895

Interoperability endpoints

  • Direct secure messaging: dlusas@direct-address.org

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730475658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492C CEDAR LN STE 514",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661713",
            "telephone_number": "203-206-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MIDROCKS DR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511626",
            "telephone_number": "732-451-4318",
            "fax_number": "888-974-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSAS",
        "first_name": "DIANE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "054932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.