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CARLOS ESTANISLAO LUCERO MD
NPI 1033164645
Pediatrics - Developmental - Behavioral Pediatrics in Beckley, WV

Active since May 23, 2006PECOS Enrolled
403 CARRIAGE DRIVE, BECKLEY, WV 25801(304) 255-7456(304) 255-5899 Get Directions Write a Review

NPPES record last updated: July 7, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carlos Estanislao Lucero Md NPPES

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

CARLOS ESTANISLAO LUCERO MD (NPI 1033164645) is an individual developmental - behavioral pediatrics provider in Beckley, West Virginia, licensed in West Virginia (10355) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033164645
Entity TypeIndividualMale
Primary Taxonomy2080P0006X
Provider Legal NameCARLOS ESTANISLAO LUCEROCredential: MD
Location Address403 CARRIAGE DRIVEBeckley, WV 25801
Mailing Address403 Carriage DrBeckley, WV 25801-2805 · (304) 255-7456 · Fax (304) 255-5899
Phone(304) 255-7456
Fax(304) 255-5899
Sole ProprietorYes
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 7, 2008
✔ NPI 1033164645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in WV · 10355
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
403 CARRIAGE DRIVE, Beckley, WV 25801
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Other Names 1

Professional Name (2)Beckley Neonatal Pediatric Care Dba Name

Other Identifiers 2

Medicare UPIND49396
Medicaid0112021000WV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Estanislao Lucero 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.

Medicare Billing Reassignment

Medicare enrollment records show Carlos Lucero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scotland Memorial Hospital, Inc
225 mi
Rural Health
24420 MARLBORO ST
Wagram, NC 28396
  • Reassigned Medicare billing, North Carolina enrollment
  • 476 clinicians in this Medicare group
NPI 1891789970 (910) 369-3136

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Carlos Lucero's NPI number?

The NPI number for Carlos Lucero is 1033164645. It was assigned to this individual provider in the NPPES registry on May 23, 2006. The provider is also known as Beckley Neonatal Pediatric Care Dba Name.

Where is Carlos Lucero located?

Carlos Lucero practices at 403 Carriage Drive, Beckley, WV 25801. The listed phone number is (304) 255-7456.

What is Carlos Lucero's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Carlos Lucero enrolled in Medicare?

Yes. Carlos Lucero is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlos Lucero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Lucero reassigns Medicare benefits to Scotland Memorial Hospital, Inc (Wagram, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Lucero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carlos Lucero was last updated on July 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.