Organization Active NPI

Cheyenne Urological PC

  • Urology Physician
  • Cheyenne, WY
National Provider Identifier
1942388178
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
CHEYENNE UROLOGICAL PC
Practice address
2301 House Ave Ste 502
Cheyenne, WY 82001-3179
Phone
(307) 635-4131
Fax
(307) 635-4134
NPI assigned
Nov 2, 2006
Last updated
Jun 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Dr. James A Lugg, M.D.
Title
President
Phone
(307) 635-4131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

2301 House Ave Ste 502
Cheyenne, WY 82001-3179

Mailing address

2301 House Ave Ste 502
Cheyenne, WY 82001-3179
Phone (307) 635-4131

Other identifiers 3

IdentifierTypeStateIssuer
CT1864OtherWYRAILROAD MEDICARE
110722400MedicaidWY
01045001OtherWYBCBS OF WYOMING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331000377 WY Part B Supplier - Clinic/Group Practice 1951293273 Receives reassigned benefits from 7 practitioners
Practice locations: Cheyenne, WY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D0904049Cheyenne Urological PC2301 House Avenue #502, Cheyenne, WY 82001AccreditationSep 7, 2027

National Provider Directory

National Provider Directory

Locations

2301 House Ave
Ste 502
Cheyenne, WY 82001
Phone (307) 635-4131

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70750

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1942388178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE STE 502",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013179",
            "telephone_number": "307-635-4131",
            "fax_number": "307-635-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE STE 502",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013179",
            "telephone_number": "307-635-4131",
            "fax_number": "307-635-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE UROLOGICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "LUGG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-635-4131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CT1864",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110722400",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WYOMING",
            "identifier": "01045001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.