Individual provider Active NPI

Nathan Lucas, DPM

  • Foot & Ankle Surgery Podiatrist
  • Memphis, TN
National Provider Identifier
1740247766
Registry record updated Apr 9, 2020
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
481 Issued in TN
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
33525181OtherTNMEDICARE PTAN
4259570001OtherTNDMERC

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. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
481ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.