Active NPI
Thomas David Lukacsa, PA-C
- Physician Assistant
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9104358
- Practice address
- 110 Health Park Blvd
Saint Augustine, FL 32086-5776 - Phone
- (904) 823-3401
- Fax
- (904) 829-8649
- NPI assigned
- May 31, 2006
- Last updated
- Apr 22, 2025
- 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 | PA9104358 | FL | Primary |
Addresses
Primary practice location
110 Health Park Blvd
Saint Augustine, FL 32086-5776
Mailing address
PO Box 100237
Gainesville, FL 32610-0237
Phone (352) 392-4541
Other practice location 1
1600 SW Archer Rd
Gainesville, FL 32610-5776
Phone (352) 392-4541
Other practice location 2
600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 392-4541
Other practice location 3
70 Turin Ter
St Augustine, FL 32092-0848
Phone (904) 819-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615
110 Health Park Blvd
Saint Augustine, FL 32086-5776
Phone (904) 823-3401
70 Turin Ter
Suite 100
Saint Augustine, FL 32092-0849
Phone (904) 819-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9104358 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epn Urgent Care LLC | Current | Accepting new patients | |
| Flagler Professional Health Care Services, Inc. | Current | Accepting new patients | |
| Quality Primary Care P a | Past | Accepting new patients | |
| Kite Emergency Physicians LLC | Past | Accepting new patients | |
| Guidewell Emergency Medicine Doctors, LLC | Past | Accepting new patients | |
| St Luke's Emergency Care Group LLC | Past | Accepting new patients |
Locations
6400 Davis Blvd
Ste 103
Naples, FL 34104
Phone (239) 304-0054
110 Health Park Blvd
St Augustine, FL 32086
Phone (904) 823-3401
Interoperability endpoints
- tlukacsa743031@direct.shands.ufl.edu
Organizations & group practices 10
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.
-
- Surgery Physician
- Leesburg, FL
- NPI 1700669926
-
dba UF Health Urgent Care-Flagler Hospital
- Urgent Care Clinic/Center
- St Augustine, FL
- NPI 1811739873
-
- Urgent Care Clinic/Center
- Winter Park, FL
- NPI 1629497235
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1275624579
-
dba UF Health Urgent Care - MuraBella
- Urgent Care Clinic/Center
- St Augustine, FL
- NPI 1598507014
-
dba GuideWell Emergency Medicine Doctors Imaging
- Radiology Clinic/Center
- Winter Park, FL
- NPI 1639973555
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1295155547
-
- Primary Care Clinic/Center
- Jacksonville, FL
- NPI 1245525518
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1871762013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1760429906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100237",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100237",
"telephone_number": "352-392-4541",
"fax_number": "352-294-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HEALTH PARK BLVD",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320865776",
"telephone_number": "904-823-3401",
"fax_number": "904-829-8649"
}
],
"practiceLocations": [
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326105776",
"country_code": "US",
"telephone_number": "352-392-4541",
"fax_number": "352-294-8519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 E Dixie Ave",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347485925",
"country_code": "US",
"telephone_number": "352-392-4541",
"fax_number": "352-294-8519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "70 Turin Ter",
"address_purpose": "LOCATION",
"city": "St Augustine",
"state": "FL",
"postal_code": "320920848",
"country_code": "US",
"telephone_number": "904-819-7200",
"fax_number": "904-814-8936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUKACSA",
"first_name": "THOMAS",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9104358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
- Carlos Andres Lozano
- Jose Antonio Lozano, MD, CSFA, OPA-C
- Edrick Gabriel Lugo Millan, M.D.
- Heather Sherry-Anne Luing, MD
- Guadalupe Luis, LCSW
- Ashley Lumpkins, OT
- Julie Marie Lumsden
- Luxottica of America Inc. (LensCrafters #02278)
- Luxottica Retail North America Inc (Target Optical #4687)
- Vincent S Luz, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.