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DR. KENNETH LUCAS MD
NPI 1659113389
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since June 12, 2024PECOS Enrolled
1040 WISHARD BLVD, INDIANAPOLIS, IN 46202(317) 278-1090 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Lucas Md NPPES

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

DR. KENNETH LUCAS MD (NPI 1659113389) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659113389
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KENNETH LUCASCredential: MD
Location Address1040 WISHARD BLVDIndianapolis, IN 46202-2872
Mailing Address1040 Wishard BlvdIndianapolis, IN 46202-2872 · (317) 278-1090
Phone(317) 278-1090
Sole ProprietorNo
Enumeration DateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1659113389 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
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.
1040 WISHARD BLVD, Indianapolis, IN 46202
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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)

Dr. Kenneth Lucas 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.

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.

RUBEN HERNAN HERNANDEZ MONDRAGON MD
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
DR. ZACHARY COLE WAGNER DO
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD, DUNLAP BUILDING
INDIANAPOLIS, IN 46202
Marion County (317) 278-1090
ANIKA TAHSIN SHAFIE MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-1090
LAUREN LUCAS MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-1090
LEA FEGHALI
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
MAITE BASTYR MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 963-4634
NICHOLAS REDILLA III
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-7930
ALLISON MARIE TANN NP
Nurse Practitioner (Family)
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893

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 Kenneth Lucas's NPI number?

The NPI number for Kenneth Lucas is 1659113389. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Kenneth Lucas located?

Kenneth Lucas practices at 1040 Wishard Blvd, Indianapolis, IN 46202. The listed phone number is (317) 278-1090.

What is Kenneth Lucas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kenneth Lucas enrolled in Medicare?

Yes. Kenneth Lucas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Lucas was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.