LUCAS BAUMGARTEN MD
NPI 1891623005
Student in an Organized Health Care Education/Training Program in Memphis, TN

Q: What is Lucas Baumgarten's NPI number?

The NPI number for Lucas Baumgarten is 1891623005. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Q: What is Lucas Baumgarten's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lucas Baumgarten was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 11, 2026PECOS Enrolled

920 MADISON AVE STE 447, MEMPHIS, TN 38103(901) 448-7635 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Lucas Baumgarten Md NPPES

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

LUCAS BAUMGARTEN MD (NPI 1891623005) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since May 2026. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891623005

Entity TypeIndividual

Primary Taxonomy390200000X

Provider Legal NameLUCAS BAUMGARTENCredential: MD

Location Address920 MADISON AVE STE 447Memphis, TN 38103-3438

Mailing Address910 Madison Ave Fl 2Memphis, TN 38103-3403

Phone(901) 448-7635

Sole ProprietorNo

Enumeration DateMay 11, 2026

NPPES CertifiedMay 10, 2026

✔ NPI 1891623005 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.

920 MADISON AVE STE 447, Memphis, TN 38103

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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 Baumgarten 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.

DR. DAVID EDWARD ZIMMERHANZEL MD

Student in an Organized Health Care Education/Training Program