DR. LUCKY LUSTERIO D.O.
NPI 1609149681
General Practice in Jbsa Lackland, TX
About Dr. Lucky Lusterio D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LUCKY LUSTERIO D.O. (NPI 1609149681) is an individual general practice provider in Jbsa Lackland, Texas, licensed in Indiana (02004069A) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Lucky Lusterio D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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.
JBSA LACKLAND, TX 78236
JBSA LACKLAND, TX 78236
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 Lucky Lusterio's NPI number?
The NPI number for Lucky Lusterio is 1609149681. It was assigned to this individual provider in the NPPES registry on February 21, 2012.
Where is Lucky Lusterio located?
Lucky Lusterio practices at 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-3536.
What is Lucky Lusterio's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Lucky Lusterio enrolled in Medicare?
Yes. Lucky Lusterio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Lucky Lusterio accept?
Health plans from Blue Cross and Blue Shield of Texas, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Lucky Lusterio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lucky Lusterio was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Lucky Lusterio, D.O. · NPI 1609149681
General Practice physician in Jbsa Lackland, Texas. Individual provider, active in the CMS NPPES registry since February 21, 2012.
## Identity
- **NPI:** 1609149681 (Entity type: Individual)
- **Enumerated:** February 21, 2012
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 02004069A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 WILFORD HALL LOOP, Jbsa Lackland, TX 78236-5638
- **Phone:** (210) 292-3536
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** October 10, 2025
- **Other identifiers:** Other 02004069A (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1609149681) · Data from the CMS NPPES public registry.