Active NPI
St. Luke's Hospital of Duluth
Doing business as Aspirus St Lukes Clinic Duluth Pediatrics
- Pediatrics Physician
- Duluth, MN
National Provider Identifier
1023057338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ST. LUKE'S HOSPITAL OF DULUTH
- Doing business as
- Aspirus St Lukes Clinic Duluth Pediatrics
Aspirus St. Luke's Clinic Duluth Pediatrics - Practice address
- 1015 E 1St St
Duluth, MN 55805-2242 - Phone
- (218) 249-7870
- NPI assigned
- Jun 5, 2006
- Last updated
- Mar 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Peck
- Title
- SVP- Chief Financial Officer
- Phone
- (715) 847-2575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1015 E 1St St
Duluth, MN 55805-2242
Mailing address
1015 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-7870
Other names 2
- Aspirus St Lukes Clinic Duluth Pediatrics
- Aspirus St. Luke's Clinic Duluth Pediatrics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031120000212 | MN | Part B Supplier - Clinic/Group Practice | 7113834839 |
Receives reassigned benefits from 584 practitioners This NPI is an additional NPI on the enrollment Practice locations: Grand Rapids, MN; Duluth, MN; Hibbing, MN; Moose Lake, MN; Proctor, MN; Silver Bay, MN; Two Harbors, MN; Virginia, MN… |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Duluth, MN
- NPI 1013203561
-
- Anesthesiology Physician
- Duluth, MN
- NPI 1952352080
-
- Family Nurse Practitioner
- Duluth, MN
- NPI 1427028174
-
- Physician Assistant
- Cloquet, MN
- NPI 1750713780
-
- Physician Assistant
- Bloomington, MN
- NPI 1295200327
-
- Psychologist
- Duluth, MN
- NPI 1952352973
-
- Physician Assistant
- Duluth, MN
- NPI 1609037183
-
- Family Medicine Physician
- Duluth, MN
- NPI 1053055608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773187200000",
"number": "1023057338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 E 1ST ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052242",
"telephone_number": "218-249-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 E 1ST ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052242",
"telephone_number": "218-249-7870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. LUKE'S HOSPITAL OF DULUTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-05",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A",
"authorized_official_last_name": "PECK",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "SVP- CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "715-847-2575"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aspirus St Lukes Clinic Duluth Pediatrics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Aspirus St. Luke's Clinic Duluth Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Duluth, MN
- Jody Ann St. George Tucker, MT-BC, MA
- Chad James St. Germain, M.D.
- St. Louis County Public Health
- St. Luke's Hospital
- St. Luke's Hospital of Duluth (Aspirus St Lukes Hospital Anesthesia)
- St. Luke's Hospital of Duluth (Aspirus St Lukes Hospital Emergency Department)
- St. Luke's Hospital of Duluth (Aspirus St Lukes Clinic Duluth Grand Ave)
- St. Luke's Hospital of Duluth (Aspirus St Lukes Clinic Duluth Ear, Nose & Throat)
- St. Luke's Hospital of Duluth (Aspirus St Lukes QCare)
- St. Luke's Hospital of Duluth (Aspirus Palliative Medicine - Minnesota)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.