Megan Robinson Lucas, MD
Individual provider Active NPI Pediatrics Physician · Minneapolis, MN
NPI 1831763572 · NPPES record last updated May 16, 2024
Key facts
- NPI
- 1831763572
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 76996 (MN)
- Practice address
- 2450 Riverside Ave
Minneapolis, MN 55454-1450 - Phone
- (612) 624-4477
- NPI assigned
- May 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240530000942 | MN | Practitioner - Pediatric Medicine | 0042608101 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Point Health Station | Current | Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| White Earth Indian Health Center | Current |
Accepting new patients | |
| Naytahwaush Health Center | Current |
Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
2471 310th Ave
#C
Mahnomen, MN 56557
Phone (218) 935-2238
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
40520 County Highway 34
#C
Ogema, MN 56569
Phone (218) 983-4300
40520 County Highway 34
Ogema, MN 56569
Phone (218) 983-4300
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
Interoperability endpoints
- mlucas454430@fairview.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 76996 | MN | Yes |
Addresses
Primary practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Mailing address
2450 Riverside Ave
Minneapolis, MN 55454-1450
Other providers in Minneapolis, MN
- Murray Philip Luber
- Brittney Lubinski
- Dragos C Luca
- Gregory Lucas-Silvis
- Carla Denise Lucas
- Susan Lucas
- Giacomo Lucchetti
- Courtney Lynn Luce
- Jonathan Lucero
- Trysha Lee Dancy Lucero
All providers in Minneapolis, MN · Pediatrics Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.