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LUCAS MEDICAL LLC
NPI 1134947997
Internal Medicine in Johnston, RI

Active since October 01, 2024
2109 HARTFORD AVE, JOHNSTON, RI 02919(626) 319-5932 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 26, 2026, Aug 14, 2025, Oct 1, 2024 (3 updates tracked since 2024).

About Lucas Medical Llc NPPES

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

LUCAS MEDICAL LLC (NPI 1134947997) is a healthcare organization registered as an internal medicine in Johnston, Rhode Island and active in the NPI registry since October 2024. The organization maintains a secondary practice location in Danbury and lists Brian Mikolasko, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1134947997
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLUCAS MEDICAL LLC
Location Address2109 HARTFORD AVEJohnston, RI 02919-3246
Mailing Address73 Sowams RdBarrington, RI 02806-4602 · (626) 319-5932 · Fax (626) 380-2395
Phone(626) 319-5932
Organization SubpartNo
Authorized OfficialBrian MikolaskoChief Executive Officer · (626) 319-5932
Enumeration DateOctober 1, 2024
Last NPPES UpdateJanuary 26, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1134947997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2109 HARTFORD AVE, Johnston, RI 02919
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Secondary Practice Location 1

Location 150 Reserve RdDanbury, CT 06810-5182 · Phone (626) 319-5932

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucas Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lucas Medical LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Brian Mikolasko, MD MBA MS
Internal Medicine
NPI 1346669512
2109 HARTFORD AVE
Johnston, RI 02919
(626) 319-5932
✔ PECOS0.1 mi
April Goller, DO
Internal Medicine
NPI 1568495471
50 RESERVE RD
Danbury, CT 06810
(203) 207-6400
✔ PECOS108 mi

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 Lucas Medical LLC's NPI number?

The NPI number for Lucas Medical LLC is 1134947997. It was assigned to this organization in the NPPES registry on October 1, 2024.

Where is Lucas Medical LLC located?

Lucas Medical LLC is located at 2109 Hartford Ave, Johnston, RI 02919. The listed phone number is (626) 319-5932.

What is Lucas Medical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lucas Medical LLC enrolled in Medicare?

Yes. Lucas Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lucas Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Lucas Medical LLC. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lucas Medical LLC was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.