Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelly Ann Luciano, MD

Individual provider Family Medicine Physician · NPI 1598020158

Mrs. Kelly Ann Luciano, MD is a Family Practice in Springfield, Illinois. Graduated from Southern Illinois University School of Medicine in 2011, 15 years ago. Practices with Baycare Urgent Care, LLC, a 94-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

520 N 4th St
Springfield, IL 62702-5238
Phone: (217) 757-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125.061583 (IL)

Record details

NPI number1598020158
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2012
Last updated in NPPESJuly 10, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Baycare Urgent Care, Llc. — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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