DEDA LUCAJ MD
NPI 1023958451
Student in an Organized Health Care Education/Training Program in Clinton Township, MI

Active since March 28, 2026PECOS Enrolled
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038(586) 263-2300 Get Directions Write a Review

NPPES record last updated: March 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deda Lucaj Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEDA LUCAJ MD (NPI 1023958451) is an individual student in an organized health care education/training program in Clinton Township, Michigan and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023958451
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEDA LUCAJCredential: MD
Location Address15855 19 MILE RDClinton Township, MI 48038-3504
Mailing Address15855 19 Mile RdClinton Township, MI 48038-3504
Sole ProprietorNo
Enumeration DateMarch 28, 2026
NPPES CertifiedMarch 28, 2026
NPI 1023958451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
15855 19 MILE RD, Clinton Township, MI 48038

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Deda Lucaj Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
15855 19 MILE RD
CLINTON TWP, MI 48038
Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deda Lucaj's NPI number?

The NPI number for Deda Lucaj is 1023958451. It was assigned to this individual provider in the NPPES registry on March 28, 2026.

Where is Deda Lucaj located?

Deda Lucaj practices at 15855 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 263-2300.

What is Deda Lucaj's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Deda Lucaj enrolled in Medicare?

Yes. Deda Lucaj is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deda Lucaj was last updated on March 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.