St. Luke'S Hospital of Duluth

Organization Active NPI Family Medicine Physician · Duluth, MN

NPI 1053589259 · NPPES record last updated Mar 11, 2026

Key facts

NPI
1053589259
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ST. LUKE'S HOSPITAL OF DULUTH
Practice address
619 W Central Entrance
Duluth, MN 55811-5448
Phone
(218) 249-4987
NPI assigned
Feb 11, 2008
Organization subpart
No

Authorized official

Name
Lori Peck
Title
SVP- Chief Financial Officer
Phone
(715) 847-2575

Corporate family (same tax ID) 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1078983Aspirus St Lukes Qcare - Duluth
619 W Central Entrance, Duluth, MN 55811
Certificate of waiverJan 17, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

Tax ID family
St Lukes Hospital of Duluth (49 organizations share this tax ID)

Locations

615 W Central Entrance
Duluth, MN 55811
Phone (218) 727-3010

1001 E Superior St
Ste L201
Duluth, MN 55802
Phone (218) 249-3057

109 N 28th St E
Superior, WI 54880
Phone (715) 395-3900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

619 W Central Entrance
Duluth, MN 55811-5448

Mailing address

619 W Central Entrance
Duluth, MN 55811-5448
Phone (218) 249-4987

Other names

  • Aspirus St Lukes QCare Doing business as
  • Aspirus St. Luke's QCare Doing business as

Other providers in Duluth, MN

All providers in Duluth, MN · Family Medicine Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.