LUCILLE MCLOUGHLIN (MD) – Pediatric Gastroenterology Physician, NPI 1063429025

LUCILLE MCLOUGHLIN (MD) is a healthcare provider. based in San antonio, Texas. specializing in Pediatric Gastroenterology Physician. They hold the professional credentials MD. They hold a License No. P8947 (TX). The NPI Number for LUCILLE MCLOUGHLIN (MD) is 1063429025

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
LUCILLE MCLOUGHLIN (MD)
NPI
1063429025
Phone
(210) 704-4038
Address
333 N SANTA ROSA
Enumeration Date
2 August 2006
Last Update Date
22 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2107044849
Graduation Year
1979 (47 years ago)
PAC ID
0244125698
Group Practice PAC ID
0648405738
Professional Enrollment ID
I20140529000320
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for LUCILLE MCLOUGHLIN (MD)

  • 333 N SANTA ROSA

    SAN ANTONIO, TX 782073108

    Phone: (210) 704-4038

    Type: Location

  • 315, San Saba, Meadowlakes, Burnet County, Texas, 78654, United States

    SAN ANTONIO, TX 782073154

    Phone: (210) 704-4038

    Type: Location

  • 315, North Santa Rosa Street, Downtown, San Antonio, Bexar County, Texas, 78207, United States

    SAN ANTONIO, TX 78207

    Phone: (210) 704-2686

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-05-11 • Largest payer in this snapshot: Fresenius Kabi USA, LLC ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Fresenius Kabi USA, LLC$125
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140529000320IPediatric MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78207)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648405738View full group profile
NameSpecialtyState
Otolaryngology, Pediatric MedicineTX
Pediatric MedicineTX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
-TX
-TX
Nurse PractitionerTX
-FL
Nurse PractitionerTX
Pediatric Medicine, RheumatologyTX

Reviews

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Frequently asked questions

What number should I use to identify LUCILLE MCLOUGHLIN (MD) for billing?
Administrative and clinical systems typically use NPI 1063429025 for LUCILLE MCLOUGHLIN (MD).
Does the public listing show LUCILLE MCLOUGHLIN (MD) as active?
LUCILLE MCLOUGHLIN (MD)'s NPI record reflects an active status in NPPES.
What type of care does LUCILLE MCLOUGHLIN (MD) provide?
LUCILLE MCLOUGHLIN (MD)'s profile centers on Pediatric Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to LUCILLE MCLOUGHLIN (MD)?
LUCILLE MCLOUGHLIN (MD) shows a connection to San Antonio, Texas in registry-derived data.
Why is information missing for LUCILLE MCLOUGHLIN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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