Individual provider Active NPI

Vincent A. Lucy, MD

  • Anesthesiology Physician
  • Honolulu, HI
National Provider Identifier
1760441109
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-12056 Issued in HI
Practice address
1450 Young St
Unit #805
Honolulu, HI 96814-1864
Phone
(808) 342-7792
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 9801700 NC
Anesthesiology Physician 207L00000X 01054142A IN
Anesthesiology Physician 207L00000X 34949 AZ
Anesthesiology Physician 207L00000X 5756 AK
Anesthesiology Physician 207L00000X 10701 ND
Anesthesiology Physician 207L00000X 22804 WV
Anesthesiology Physician 207L00000X C-8446 AR
Pain Medicine (Anesthesiology) Physician 207LP2900X 9801700 NC
Pain Medicine (Anesthesiology) Physician 207LP2900X 01054142A IN
Pain Medicine (Anesthesiology) Physician 207LP2900X MD-12056 HI
Pain Medicine (Anesthesiology) Physician 207LP2900X 34949 AZ
Pain Medicine (Anesthesiology) Physician 207LP2900X 5756 AK
Pain Medicine (Anesthesiology) Physician 207LP2900X C-8446 AR
Pain Medicine (Anesthesiology) Physician 207LP2900X 22804 WV
Anesthesiology Physician 207L00000X MD-12056 HI Primary

Addresses

Primary practice location

1450 Young St
Unit #805
Honolulu, HI 96814-1864

Mailing address

1450 Young St Apt 805
Honolulu, HI 96814-1854
Phone (808) 342-7792

Other practice location 1

1450 Young St
Unit #805
Honolulu, HI 96814-1864
Phone (808) 342-7792

Other practice location 2

1 Childrens Way # 203
Little Rock, AR 72202-3500
Phone (501) 364-3933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, HI, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20041123000818 AR Practitioner - Anesthesiology 6305801952 Reassigns benefits to 3 organizations
I20050928001571 HI Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 6305801952 Reassigns benefits to 2 organizations
I20251210002728 MI Practitioner - Anesthesiology 6305801952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Arkansas College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE MC
Suite 845
Grand Rapids, MI 49503-2560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-8446ARMDAnesthesiology Physician
MD-12056HIMDAnesthesiology Physician
9801700NCMDAnesthesiology Physician
10701NDMDAnesthesiology Physician
22804WVMDAnesthesiology Physician
34949AZMDPain Medicine (Anesthesiology) Physician
01054142AINMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jun 4, 2018 Accepting new patients
Hilo Benioff Medical Center Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients
Arkansas Childrens Hospital CurrentSince Jun 4, 2018 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Shriners Hospitals for Children Anesthesiology CurrentSince Aug 29, 2023 Accepting new patients
Spectrum Health Primary Care Partners Anesthesiology CurrentSince Sep 29, 2025 Accepting new patients
Arkansas Children'S Hospital CurrentSince Jun 4, 2018 Accepting new patients
Premier Anesthesia of Arkansas Professional Corporation Anesthesiology CurrentSince Jun 1, 2016 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 4, 2018 Accepting new patients
University of Arkansas for Medical Sciences Anesthesiology Current Accepting new patients
Anesthesia Resources of the Carolinas, P.a. Anesthesiology Past Accepting new patients
Shriners Hospitals for Children Past Accepting new patients
Sheridan Healthcare of Arkansas PA Anesthesiology Past Accepting new patients

Locations

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#203
Little Rock, AR 72202
Phone (501) 364-2180

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

82 Puuhonu Pl
Ste 100
Hilo, HI 96720
Phone (808) 937-2001

1310 Punahou St
Honolulu, HI 96826
Phone (808) 941-4466

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1760441109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 YOUNG ST APT 805",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141854",
            "telephone_number": "808-342-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 YOUNG ST",
            "address_2": "UNIT #805",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141864",
            "telephone_number": "808-342-7792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Young St",
            "address_2": "Unit #805",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968141864",
            "country_code": "US",
            "telephone_number": "808-342-7792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Way # 203",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722023500",
            "country_code": "US",
            "telephone_number": "501-364-3933",
            "fax_number": "501-364-2939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCY",
        "first_name": "VINCENT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "9801700",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01054142A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "34949",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "5756",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ND",
            "license": "10701",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "22804",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "C-8446",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "9801700",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01054142A",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "HI",
            "license": "MD-12056",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "34949",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AK",
            "license": "5756",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AR",
            "license": "C-8446",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WV",
            "license": "22804",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "MD-12056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.