Individual provider Active NPI

Tiffini Regis Lucas, M.D.

  • Family Medicine Physician
  • Chevy Chase, MD
National Provider Identifier
1871509737
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0057264 Issued in MD
Practice address
5530 Wisconsin Ave
Suite 1149
Chevy Chase, MD 20815-4404
Phone
(240) 223-2639
Fax
(240) 223-3223
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0057264 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave
Suite 1149
Chevy Chase, MD 20815-4404

Mailing address

5530 Wisconsin Ave
Suite 1149
Chevy Chase, MD 20815-4404
Phone (240) 223-2639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050601000862 DC Practitioner - Family Practice 4789626649 Reassigns benefits to 2 organizations
I20140610001440 MD Practitioner - Family Practice 4789626649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

10401 Old Georgetown Rd
Suite 400
Bethesda, MD 20814-1911
Phone (240) 223-2639

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Mar 12, 2014 Accepting new patients
Privia Care Center LLC CurrentSince Oct 3, 2018 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Mar 12, 2014 Accepting new patients
Privia Care Center LLC CurrentSince Oct 3, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Contemporary Family Medicine Family Medicine PastSince Nov 24, 2004 Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

5530 Wisconsin Ave
Ste 1149
Chevy Chase, MD 20815
Phone (240) 223-2639

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • Direct secure messaging: tiffini.lucas.1@8042.direct.athenahealth.com

Organizations & group practices 7

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 1

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1871509737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "SUITE 1149",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "240-223-2639",
            "fax_number": "240-223-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "SUITE 1149",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "240-223-2639",
            "fax_number": "240-223-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "TIFFINI",
        "middle_name": "REGIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0057264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.