Active NPI
Lucian I. Lupas, PA-C
- Physician Assistant
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1139591
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1139591 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Macomb | Current | Accepting new patients | |
| McLaren Flint | Physician Assistant | Current | Accepting new patients |
| McLaren Flint | Physician Assistant | Current | Accepting new patients |
| McLaren Flint | Current | 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
- lucian.lupas.1@9704.direct.athenahealth.com
- 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.
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
-
- Internal Medicine Physician
- Mount Clemens, MI
- NPI 1396014601
-
- Social Worker
- Flint, MI
- NPI 1356480685
-
- Physician Assistant
- Flint, MI
- NPI 1700919628
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.