Active NPI
Nathan Lucas, DPM
- Foot & Ankle Surgery Podiatrist
- Memphis, TN
National Provider Identifier
1740247766
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Dec 19, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 481
- Practice address
- 2900 Kirby Rd
Suite 5
Memphis, TN 38119-8221 - Phone
- (901) 309-8898
- Fax
- (901) 309-5908
- NPI assigned
- Apr 26, 2006
- Last updated
- Apr 9, 2020
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 481 | TN | Primary |
Addresses
Primary practice location
2900 Kirby Rd
Suite 5
Memphis, TN 38119-8221
Mailing address
2900 Kirby Rd
Suite 5
Memphis, TN 38119-8221
Phone (901) 309-8898
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33525181 | Other | TN | MEDICARE PTAN |
| 4259570001 | Other | TN | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 481 | AR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helen Kuo DPM Inc | Foot & Ankle Surgery | Past | Accepting new patients |
| Marcia J Glenn MD & Associates Dermatology & Laser Med Ctr Inc | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Foot & Ankle Surgery Podiatrist
- Memphis, TN
- NPI 1649471467
-
- Foot Surgery Podiatrist
- Memphis, TN
- NPI 1285745588
-
- Foot & Ankle Surgery Podiatrist
- Memphis, TN
- NPI 1205305430
-
- Foot & Ankle Surgery Podiatrist
- Torrance, CA
- NPI 1093824633
-
- Dermatology Physician
- Marina del Rey, CA
- NPI 1396984423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1740247766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 KIRBY RD",
"address_2": "SUITE 5",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381198221",
"telephone_number": "901-309-8898",
"fax_number": "901-309-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 KIRBY RD",
"address_2": "SUITE 5",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381198221",
"telephone_number": "901-309-8898",
"fax_number": "901-309-5908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TN",
"license": "481",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "33525181",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4259570001",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.