Individual provider Active NPI

Lukas David Torres

  • Physician Assistant
  • Oak Creek, WI
National Provider Identifier
1851048177
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7033 Issued in WI
Practice address
7003 S Howell Ave Ste 1600
Oak Creek, WI 53154-1460
Phone
(262) 476-4900
NPI assigned
Mar 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X 7033-23 WI
Physician Assistant 363A00000X 7033 WI Primary

Addresses

Primary practice location

7003 S Howell Ave Ste 1600
Oak Creek, WI 53154-1460

Mailing address

7003 S Howell Ave Ste 1600
Oak Creek, WI 53154-1460
Phone (262) 476-4900

Other practice location 1

10625 W North Ave Ste 101B
Wauwatosa, WI 53226-2315
Phone (414) 727-9183

Other practice location 2

400 N Executive Dr Ste 110
Brookfield, WI 53005-6029
Phone (262) 476-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20221220001905 WI Practitioner - Physician Assistant 0840669529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanish, LLCGroup PAC ID 0345504684, 4 clinicians

Practice addresses (Care Compare)

12075 Corporate Pkwy
Suite 130
Mequon, WI 53092-2664
Phone (262) 476-4900

400 N Executive Dr
Suite 110
Brookfield, WI 53005-6029
Phone (262) 476-4900

7003 S Howell Ave
Suite 1600
Oak Creek, WI 53154-1460
Phone (262) 476-4900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7033-23WIMDPhlebology Physician
7033WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
EMS Observation, S.C. Single Specialty CurrentSince Mar 1, 2023 Accepting new patients

Locations

10625 W North Ave
Ste 101B
Wauwatosa, WI 53226
Phone (414) 727-9183

Interoperability endpoints

  • Direct secure messaging: lukas.torres.1@24415.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1851048177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 S HOWELL AVE STE 1600",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541460",
            "telephone_number": "262-476-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 S HOWELL AVE STE 1600",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541460",
            "telephone_number": "262-476-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10625 W North Ave Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532262315",
            "country_code": "US",
            "telephone_number": "414-727-9183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Executive Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530056029",
            "country_code": "US",
            "telephone_number": "262-476-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "LUKAS",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-07",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": "WI",
            "license": "7033-23",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

Verify at the official NPI Registry.