NPIMap

Individual provider Active NPI

Ludy Lukose, M.D

  • Internal Medicine Physician
  • Cumming, GA
National Provider Identifier
1023258274
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
070217 Issued in GA
Practice address
407 East Maple Street
Suite 101
Cumming, GA 30040
Phone
(770) 888-6697
Fax
(770) 888-6698
NPI assigned
Mar 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 070217 GA Primary

Addresses

Primary practice location

407 East Maple Street
Suite 101
Cumming, GA 30040

Mailing address

407 East Maple Street
Suite 101
Cumming, GA 30040
Phone (770) 888-6697

Other identifiers 1

IdentifierTypeStateIssuer
003137069AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130815000279 GA Practitioner - Internal Medicine 6507902095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

407 E Maple St
Suite 101
Cumming, GA 30040-2656
Phone (770) 888-6697

Hospital & facility affiliations

  • Accentcare Home Health of Northeast Georgia Home health agency, Buford, GA, CCN 117139
  • Northeast Georgia Home Health Home health agency, Gainesville, GA, CCN 117156
  • Pruitthealth at Home - Cumming Home health agency, Cumming, GA, CCN 117080
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
070217GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Heart Diagnostics Corporation CurrentSince Jun 24, 2017 Accepting new patients
Premier Medical Associates PC Internal Medicine CurrentSince Aug 1, 2013 Accepting new patients
Physicians Health Alliance Inc Past Accepting new patients
Scranton Quincy Clinic Company LLC Internal Medicine Past Accepting new patients

Locations

407 E Maple St
Cumming, GA 30040
Phone (678) 445-9191

407 E Maple St
Ste 101
Cumming, GA 30040
Phone (770) 888-6697

Interoperability endpoints

  • Direct secure messaging: ludylukose@pmgp.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAFIAD/Endpoint/DAFIAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAFIAD

Organizations & group practices 4

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 6

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": "1235865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1023258274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 EAST MAPLE STREET",
            "address_2": "SUITE 101",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "770-888-6697",
            "fax_number": "770-888-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 EAST MAPLE STREET",
            "address_2": "SUITE 101",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "770-888-6697",
            "fax_number": "770-888-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKOSE",
        "first_name": "LUDY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-01",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "070217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003137069A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.