LUCAS M. WALDEN M.D
NPI 1124581988
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 09, 2019PECOS Enrolled

2500 METROHEALTH DRIVE, RADIOLOGY DEPARTMENT, CLEVELAND, OH 44109(216) 778-7800 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2021, Apr 29, 2019, Apr 9, 2019 (3 updates tracked since 2019).

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About Lucas M. Walden M.d NPPES

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

LUCAS M. WALDEN M.D (NPI 1124581988) is an individual student in an organized health care education/training program in Cleveland, Ohio, licensed in Ohio (57-250450) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124581988

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLUCAS M. WALDENCredential: M.D

Location Address2500 METROHEALTH DRIVE, RADIOLOGY DEPARTMENTCleveland, OH 44109

Mailing Address2500 Metrohealth Drive, Radiology DepartmentCleveland, OH 44109 · (216) 778-7800

Phone(216) 778-7800

Sole ProprietorNo

Enumeration DateApril 9, 2019

Last NPPES UpdateJuly 21, 20213 updates tracked since enumeration

NPPES CertifiedJuly 21, 2021

✔ NPI 1124581988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in OH · 57-250450

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.

2500 METROHEALTH DRIVE, Cleveland, OH 44109

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucas M. Walden M.d 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.