Individual provider Active NPI

Lucian I. Lupas, PA-C

  • Physician Assistant
  • Troy, MI
National Provider Identifier
1891255998
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1139591 Issued in MI
Practice address
4600 Investment Dr Ste 200
Troy, MI 48098-6375
Phone
(248) 267-5050
NPI assigned
Mar 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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 1139591 MI Primary

Addresses

Primary practice location

4600 Investment Dr Ste 200
Troy, MI 48098-6375

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

21734 Albion Ave
Farmington Hills, MI 48336-5604
Phone (248) 895-1278

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address llupas3608684@epic00.corewelldirect.org

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
I20191014000863 MI Practitioner - Physician Assistant 6002147618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

1 Wiliam Carls Dr
Commerce Township, MI 48382-2201

28100 Grand River Ave
Farmington Hills, MI 48336-5970

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058

3901 Beaubien 1St Floor
Detroit, MI 48201-2119
Phone (313) 745-5227

3901 Beaubien St
Detroit, MI 48201-2119

4600 Investment Dr
Suite 200
Troy, MI 48098-6375
Phone (248) 267-5050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1139591MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Macomb CurrentSince Nov 11, 2021 Accepting new patients
McLaren Flint Physician Assistant Current Accepting new patients
McLaren Flint Physician Assistant CurrentSince Jul 1, 2019 Accepting new patients
McLaren Flint CurrentSince Jul 1, 2019 Accepting new patients

Locations

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1030 Harrington St
Ste 304
Mount Clemens, MI 48043
Phone (586) 493-3260

Interoperability endpoints

  • Direct secure messaging: lucian.lupas.1@9704.direct.athenahealth.com
  • Direct secure messaging: llupas3608684@epic00.corewelldirect.org

Organizations & group practices 6

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 5

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1891255998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 INVESTMENT DR STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986375",
            "telephone_number": "248-267-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21734 Albion Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365604",
            "country_code": "US",
            "telephone_number": "248-895-1278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUPAS",
        "first_name": "LUCIAN",
        "middle_name": "I.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "1139591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llupas3608684@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "4600 Investment Dr Ste 200",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480986375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.