ELLIOTT W LUCAS (MD) – Obstetrics & Gynecology Physician, NPI 1124128111

ELLIOTT W LUCAS (MD) is a healthcare provider. based in Norfolk, Virginia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. D69405 (MD). The NPI Number for ELLIOTT W LUCAS (MD) is 1124128111

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
ELLIOTT W LUCAS (MD)
NPI
1124128111
Phone
(757) 889-6890
Address
100 KINGSLEY LN
Enumeration Date
22 September 2006
Last Update Date
27 October 2020

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8649083530
Graduation Year
1983 (43 years ago)
PAC ID
7911980735
Group Practice PAC ID
9436323342
Professional Enrollment ID
I20040611000244
Address ID
VA232354730NO1401XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,164 OBSTETRICS/GYNECOLOGY in VA

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Provider Addresses for ELLIOTT W LUCAS (MD)

  • 100, Kingsley Lane, East Haven, Norfolk, Virginia, 23505, United States

    SUITE 100

    NORFOLK, VA 235054604

    Phone: (757) 889-6890

    Fax: (757) 889-6893

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20040611000244IObstetrics/GynecologyVATBD
I20171016001494IObstetrics/GynecologySCTBD
I20201103000310IObstetrics/GynecologyMDTBD

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 23505)

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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: 9436323342View full group profile
NameSpecialtyState
Hospitalist, Obstetrics/GynecologyVA
O B S T E T R I C S/ G Y N E C O L O G YLA
O B S T E T R I C S/ G Y N E C O L O G YNY
O B S T E T R I C S/ G Y N E C O L O G YSC
-VA
O B S T E T R I C S/ G Y N E C O L O G YVA
O B S T E T R I C S/ G Y N E C O L O G YVA
Certified Nurse Midwife (Cnm)VA
Certified Nurse Midwife (Cnm)TX
-VA

Reviews

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Frequently asked questions

What number should I use to identify ELLIOTT W LUCAS (MD) for billing?
Administrative and clinical systems typically use NPI 1124128111 for ELLIOTT W LUCAS (MD).
Quick check: is ELLIOTT W LUCAS (MD) active?
Public NPPES data shows ELLIOTT W LUCAS (MD) with an active NPI status right now.
What type of care does ELLIOTT W LUCAS (MD) provide?
ELLIOTT W LUCAS (MD)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ELLIOTT W LUCAS (MD)?
ELLIOTT W LUCAS (MD) is associated with Norfolk, Virginia in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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