Individual provider Active NPI

Dylan Lukato

  • Emergency Medicine Physician
  • Orange, CA
National Provider Identifier
1003273384
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
58905 Issued in KY
Practice address
101 The City Dr S
Orange, CA 92868-3201
Phone
(415) 218-8041
NPI assigned
Jan 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A177113 CA
Emergency Medicine Physician 207P00000X 58905 KY Primary
Emergency Medicine Physician 207P00000X 70707 TN

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

8 Boothill LN
Carson, CA 90745-5609
Phone (415) 218-8041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, TX, KY, TN5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20220712001837 CA Practitioner - Emergency Medicine 2365822020 Reassigns benefits to 2 organizations
I20230707002170 AZ Practitioner - Emergency Medicine 2365822020 Reassigns benefits to 3 organizations
I20241009000303 TX Practitioner - Emergency Medicine 2365822020 Reassigns benefits to 2 organizations
I20241122003651 KY Practitioner - Emergency Medicine 2365822020 Reassigns benefits to 2 organizations
I20250228002623 TN Practitioner - Emergency Medicine 2365822020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Wisconsin School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of 126 clinicians
Baptist Health Medical Group Inc 2,431 clinicians
Pearsall Emergency Medicine Associates, PA 45 clinicians
Dhew Ind HLTH SV HLTH SVS and MNTL HLTH Adm 219 clinicians
Southeastern Emergency Physicians LLC 776 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

11701 Bluegrass Pkwy
Suite 100
Louisville, KY 40299-2302
Phone (502) 928-4100

1890 George Dieter Dr
El Paso, TX 79936-4327
Phone (915) 225-7116

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200

Hospital & facility affiliations

  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • The Hospitals of Providence Horizon City Campus Hospital, Horizon City, TX, CCN 670124
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120

Merit-based Incentive Payment System (MIPS)

Final score
93.8 of 100Reported as group
Quality
85.23
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A177113CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 27, 2024 Accepting new patients
Sierra Estrellas Emergency Physicians LLC Emergency Medicine CurrentSince May 23, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 26, 2024 Accepting new patients
Baptist Medical Associates Inc CurrentSince Oct 26, 2024 Accepting new patients
Tempe Emergency Physicians, LTD Emergency Medicine CurrentSince May 14, 2024 Accepting new patients
Pearsall Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 27, 2024 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Oct 10, 2023 Accepting new patients
Altamont Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

450 Glass Ln
Ste C
Modesto, CA 95356

1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

1890 George Dieter Dr
El Paso, TX 79936
Phone (915) 219-9404

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

Interoperability endpoints

  • Direct secure messaging: dlukato633180@hisp.ehr.sutterhealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1003273384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BOOTHILL LN",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907455609",
            "telephone_number": "415-218-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "415-218-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKATO",
        "first_name": "DYLAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-18",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A177113",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "58905",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "70707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.