Individual provider Active NPI

Lucian George Dorneanu

  • Hospitalist Physician
  • Milwaukee, WI
National Provider Identifier
1922539790
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
70934 Issued in WI
Practice address
2320 N Lake Dr
Milwaukee, WI 53211-4507
Phone
(414) 270-4932
NPI assigned
Mar 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X 70934 WI Primary

Addresses

Primary practice location

2320 N Lake Dr
Milwaukee, WI 53211-4507

Mailing address

2320 N Lake Dr
Milwaukee, WI 53211-4507
Phone (414) 270-4932

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200716001557 WI Practitioner - Internal Medicine 9931430352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2301 N Lake Dr
Milwaukee, WI 53211-4508

2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70934WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Jul 1, 2020 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc Current Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Jul 1, 2020 Accepting new patients

Locations

7395 Solutions Ctr
Chicago, IL 60677

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

2320 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

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.

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1922539790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 N LAKE DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114507",
            "telephone_number": "414-270-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 N LAKE DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114507",
            "telephone_number": "414-270-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNEANU",
        "first_name": "LUCIAN",
        "middle_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "70934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.