Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LUCAS TIDWELL MD
NPI 1942837588
Surgery in Novi, MI

Q: What is Lucas Tidwell's NPI number?

The NPI number for Lucas Tidwell is 1942837588. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Lucas Tidwell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Lucas Tidwell was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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 March 24, 2020PECOS Enrolled

26850 PROVIDENCE PKWY STE 504, NOVI, MI 48374(248) 662-4333 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 28, 2026, Jul 8, 2025, Mar 24, 2020 (3 updates tracked since 2020).

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About Lucas Tidwell Md NPPES

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

LUCAS TIDWELL MD (NPI 1942837588) is an individual surgery provider in Novi, Michigan, licensed in Michigan (4301514131) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Southfield.

NPPES Registry Identity

NPI1942837588

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameLUCAS TIDWELLCredential: MD

Location Address26850 PROVIDENCE PKWY STE 504Novi, MI 48374-1267

Mailing AddressPo Box 670884Detroit, MI 48267-0884 · (800) 436-7936

Phone(248) 662-4333

Sole ProprietorNo

Enumeration DateMarch 24, 2020

Last NPPES UpdateSeptember 28, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2026

✔ NPI 1942837588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · 4301514131

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

26850 PROVIDENCE PKWY STE 504, Novi, MI 48374

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Secondary Practice Location 1

Location 122250 Providence Dr Ste 206Southfield, MI 48075-6210 · Phone (248) 662-4333

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 Tidwell 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL J. JACOBS, M. D. P.C.

Surgery

26850 PROVIDENCE PKWY STE 504
NOVI, MI 48374

Oakland County (248) 662-4333

NAFISA KUWAJERWALA MD PLLC

Surgery

26850 PROVIDENCE PKWY STE 504
NOVI, MI 48374

Oakland County (248) 662-4333

SUMET SILAPASWAN MD

Surgery

26850 PROVIDENCE PKWY STE 504
NOVI, MI 48374

Oakland County (248) 646-4333

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 Tidwell's NPI number?

The NPI number for Lucas Tidwell is 1942837588. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Lucas Tidwell located?

Lucas Tidwell practices at 26850 Providence Pkwy Ste 504, Novi, MI 48374. The listed phone number is (248) 662-4333.

What is Lucas Tidwell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Lucas Tidwell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lucas Tidwell was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.