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DR. MARIO LUCERO MD
NPI 1639173115
Medical Genetics, Ph.D. Medical Genetics in War, WV

Active since June 13, 2005PECOS Enrolled
ROUTE 16, MAIN STREET, WAR, WV 24892(304) 425-1768(304) 425-3912 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mario Lucero Md NPPES

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

DR. MARIO LUCERO MD (NPI 1639173115) is an individual medical genetics, ph.d. medical genetics provider in War, West Virginia, licensed in West Virginia (WV13411) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639173115
Entity TypeIndividualMale
Primary Taxonomy170100000X
Provider Legal NameDR. MARIO LUCEROCredential: MD
Location AddressROUTE 16, MAIN STREETWar, WV 24892
Mailing AddressRoute 16, Main StreetWar, WV 24892 · (304) 425-1768 · Fax (304) 425-3912
Phone(304) 425-1768
Fax(304) 425-3912
Sole ProprietorNo
Enumeration DateJune 13, 2005
Last NPPES UpdateMarch 13, 2008
✔ NPI 1639173115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics, Ph.D. Medical GeneticsOther Service Providers
Taxonomy Code170100000X
License✔ Licensed in WV · WV13411
Definition
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
Also ListedContractorTaxonomy 171W00000X · License WV 13411 (WV)
ROUTE 16, MAIN STREET, War, WV 24892
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Other Identifiers 3

Medicare UPIND4918
Medicaid0049852000WV
Medicare ID-Type UnspecifiedSP01521Medicare Provider Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mario 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.

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 Mario Lucero's NPI number?

The NPI number for Mario Lucero is 1639173115. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Mario Lucero located?

Mario Lucero practices at Route 16, Main Street, War, WV 24892. The listed phone number is (304) 425-1768.

What is Mario Lucero's specialty?

The primary specialty registered for this NPI is Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.

Is Mario Lucero enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mario Lucero was last updated on March 13, 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.