Active NPI
Kent G Lucchesi, MD
- Anesthesiology Physician
- Elkhart, IN
National Provider Identifier
1942231691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01040256
- Practice address
- 600 East Blvd
Elkhart, IN 46514 - Phone
- (574) 523-3193
- Fax
- (574) 523-3464
- NPI assigned
- Jul 5, 2006
- Last updated
- May 14, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01040256 | IN | Primary |
Addresses
Primary practice location
600 East Blvd
Elkhart, IN 46514
Mailing address
7 Parkway Ctr
Suite 375
Pittsburgh, PA 15220
Phone (412) 937-5700
Other names 1
- K. Gregory Lucchesi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01040256 | IN | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1942231691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PARKWAY CTR",
"address_2": "SUITE 375",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15220",
"telephone_number": "412-937-5700",
"fax_number": "412-937-5739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 EAST BLVD",
"city": "ELKHART",
"state": "IN",
"postal_code": "46514",
"telephone_number": "574-523-3193",
"fax_number": "574-523-3464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCCHESI",
"first_name": "KENT",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01040256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "K. GREGORY",
"last_name": "LUCCHESI",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.