Individual provider Active NPI

Madeline E Lucas, PA-C

  • Physician Assistant
  • Montgomery, OH
National Provider Identifier
1811750680
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.009355RX Issued in OH
Practice address
10600 Montgomery Rd
Montgomery, OH 45242-4463
Phone
(513) 853-9250
Fax
(513) 281-1908
NPI assigned
Feb 2, 2024
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5238 SC
Physician Assistant 363A00000X 50.009355RX OH Primary

Addresses

Primary practice location

10600 Montgomery Rd
Montgomery, OH 45242-4463

Mailing address

10600 Montgomery Rd
Montgomery, OH 45242-4463
Phone (513) 853-9250

Other practice location 1

3551A Rutherford Rd
Taylors, SC 29687-2195
Phone (864) 522-4750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240312000226 SC Practitioner - Physician Assistant 0345686416 Reassigns benefits to 1 organization
I20250403002796 OH Practitioner - Physician Assistant 0345686416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 246-2400

10506 A Montgomery Rd
Montgomery, OH 45242-4402

3219 Clifton Ave
Suite 330
Cincinnati, OH 45220-2452
Phone (513) 853-9250

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

740 W Galbraith Rd
Cincinnati, OH 45231-6002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5238SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Mar 25, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince Mar 25, 2024 Accepting new patients
Trihealth H LLC Physician Assistant CurrentSince Apr 21, 2025 Accepting new patients
Gastroenterology Consultants of Greater Cincinnati PastSince Mar 30, 2025 Accepting new patients
Trihealth Physician Institute Physician Assistant Past Accepting new patients

Locations

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

3551A Rutherford Rd
Taylors, SC 29687
Phone (864) 268-2333

Interoperability endpoints

  • Direct secure messaging: mlucas461341@direct.trihealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1811750680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 MONTGOMERY RD",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424463",
            "telephone_number": "513-853-9250",
            "fax_number": "513-281-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 MONTGOMERY RD",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424463",
            "telephone_number": "513-853-9250",
            "fax_number": "513-281-1908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551A Rutherford Rd",
            "address_purpose": "LOCATION",
            "city": "Taylors",
            "state": "SC",
            "postal_code": "296872195",
            "country_code": "US",
            "telephone_number": "864-522-4750",
            "fax_number": "864-522-4755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "MADELINE",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5238",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.009355RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.