Mary Beth Luca, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

34005944L Issued in OH

Practice address

6740 Perimeter Dr Ste 100
Dublin, OH 43016-8074

Phone

(614) 761-7705

Fax

(614) 734-9570

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Dermatology

Education

University of New England, College of Osteo Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Cosmetic Surgery of Dublin, IncGroup PAC ID 6305845595, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Dermatology and Cosmetic Surgery of Dublin, Inc

  • Dermatology Physician
  • Dublin, OH
  • NPI 1366504656
  Medicare reassignment Care Compare group NPD
• Advanced Dermatology of Ohio, Inc

  • Dermatology Physician
  • Mason, OH
  • NPI 1760491401
  NPD (past)
• Osu Internal Medicine, LLC

  • Endoscopy Clinic/Center
  • Dublin, OH
  • NPI 1427127919
  NPD (past)
• Academy Dermatology and Cosmetic Center, PA

  • Dermatology Physician
  • Moorestown, NJ
  • NPI 1104991173
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1891805339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 PERIMETER DR STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168074",
            "telephone_number": "614-761-7705",
            "fax_number": "614-734-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 PERIMETER DR STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168074",
            "telephone_number": "614-761-7705",
            "fax_number": "614-734-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCA",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34005944L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pam K Lowry, RN
• Michael William Loy III
• Noelle E Loy
• Jason Lozier
• Ashley Lozoya
• Melissa Lucas
• Melissa Lucas
• Samantha Jo Luckenbill
• Jessica Luckett
• Lucy Pickering OD LLC

• Dermatology Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.

Verify at the official NPI Registry.