Individual provider Active NPI

Steven Mark Lucas, MD

  • Urology Physician
  • Dearborn, MI
National Provider Identifier
1821292616
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301098339 Issued in MI
Practice address
18100 Oakwood Blvd
Suite 300
Dearborn, MI 48124-4085
Phone
(313) 271-0430
Fax
(313) 429-7941
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01065967A IN
Urology Physician 208800000X 4301098339 MI Primary

Addresses

Primary practice location

18100 Oakwood Blvd
Suite 300
Dearborn, MI 48124-4085

Mailing address

1560 E. Maple Rd.
Suite 400-Credentialing
Troy, MI 48083-1138
Phone (313) 271-0430

Other practice location 1

5250 Auto Club Dr Ste 290A
Dearborn, MI 48126-2619
Phone (313) 448-9220

Other identifiers 1

IdentifierTypeStateIssuer
BP2-0018119OtherINSTITUTIONAL PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110624000534 MI Practitioner - Urology 8426104373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rush Medical College of Rush University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

18100 Oakwood Blvd
Suite 300
Dearborn, MI 48124-4085
Phone (313) 240-4900

Hospital & facility affiliations

  • Karmanos Cancer Center Hospital, Detroit, MI, CCN 230297
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Harper University Hospital Hospital, Detroit, MI, CCN 230104
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Detroit Receiving Hospital Hospital, Detroit, MI, CCN 230273

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01065967AINMDUrology Physician
4301098339MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince Jul 1, 2011 Accepting new patients
University Physician Group CurrentSince Jul 1, 2011 Accepting new patients
University Physician Group Past Accepting new patients
University Urologists, Inc., PC Urology Past Accepting new patients
University Physician Group Past Accepting new patients

Locations

5250 Auto Club Dr
Ste 290A
Dearborn, MI 48126
Phone (313) 448-9220

18100 Oakwood Blvd
Ste 300
Dearborn, MI 48124
Phone (313) 240-4900

261 Mack Ave
Detroit, MI 48201
Phone (313) 745-1100

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701

1560 E Maple Rd
Ste 400
Troy, MI 48083

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Interoperability endpoints

  • Direct secure messaging: steven.lucas.1@19711.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1821292616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E. MAPLE RD.",
            "address_2": "SUITE 400-CREDENTIALING",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831138",
            "telephone_number": "313-271-0430",
            "fax_number": "313-429-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 OAKWOOD BLVD",
            "address_2": "SUITE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244085",
            "telephone_number": "313-271-0430",
            "fax_number": "313-429-7941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5250 Auto Club Dr Ste 290A",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481262619",
            "country_code": "US",
            "telephone_number": "313-448-9220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01065967A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301098339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP2-0018119",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.