Individual provider Active NPI

Lilana Lucaj, PA-C

  • Physician Assistant
  • Warren, MI
National Provider Identifier
1821319633
Registry record updated Oct 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005769 Issued in MI
Practice address
26000 Hoover Rd Ste 102
Warren, MI 48089-1167
Phone
(586) 427-1351
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601005769 MI Primary

Addresses

Primary practice location

26000 Hoover Rd Ste 102
Warren, MI 48089-1167

Mailing address

13430 E 13 Mile Rd
Warren, MI 48088-3187
Phone (586) 427-1351

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110923000242 MI Practitioner - Physician Assistant 3678744679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maan Askar MD PCGroup PAC ID 6406893676, 4 clinicians

Practice addresses (Care Compare)

26440 Hoover Rd
Suite C
Warren, MI 48089-1190
Phone (586) 427-1337

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601005769MIMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: llucaj858240@direct.hfhs.org

Organizations & group practices 1

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 4

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476489600000",
    "number": "1821319633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883187",
            "telephone_number": "586-427-1351",
            "fax_number": "586-486-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26000 HOOVER RD STE 102",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891167",
            "telephone_number": "586-427-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAJ",
        "first_name": "LILANA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2016-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.