Active NPI
Luke Portwood Fife, M.D.
- Surgery Physician
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01087459A
- Practice address
- 550 S Landmark Ave
Bloomington, IN 47403-3239 - Phone
- (812) 355-6900
- Fax
- (812) 355-6912
- NPI assigned
- Apr 16, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 48989 | KY | |
| Surgery Physician | 208600000X | 01087459A | IN | Primary |
Addresses
Primary practice location
550 S Landmark Ave
Bloomington, IN 47403-3239
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
910 Wallace Ave
Leitchfield, KY 42754-2414
Phone (270) 259-3035
Other practice location 2
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 289-6381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100428850 | Medicaid | KY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lfife@direct.iuhealth.org | Direct | |
| Direct Messaging Address | lfife@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160811002215 | KY | Practitioner - General Surgery | 5698912335 | Reassigns benefits to 1 organization |
| I20220506000321 | IN | Practitioner - General Surgery | 5698912335 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Methodist Health, Inc.Iu Health Medical Group LLCIndiana University Health Southern Indiana Physicians LLC
Practice addresses (Care Compare)
1413 N Elm St
Suite 204
Henderson, KY 42420-2773
Phone (270) 830-9973
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
550 S Landmark Ave
Indiana University So in Phy LLC
Bloomington, IN 47403-3239
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health Bloomington Hospital
- Indiana University Health Paoli Hospital
- Deaconess Henderson Hospital
- Indiana University Health Bedford Hospital
- Indiana University Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.82 of 100
- Quality
- 91.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.82
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01087459A | IN | MD | Surgery Physician |
| 48989 | KY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Health, Inc. | Surgery | Current | Accepting new patients |
| Indiana University Health Ball Memorial Physicians, Inc. | Surgery | Current | Accepting new patients |
| Methodist Health, Inc. | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Methodist Health, Inc. | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, LLC | Surgery | Current | Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
2900 16th St
Bedford, IN 47421
Phone (812) 275-1200
550 S Landmark Ave
Bloomington, IN 47403
Phone (812) 330-3688
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973
Interoperability endpoints
- lfife239626@direct.deaconess.com
- lfife70999@direct.owensborohealth.org
- lfife1@direct.iuhealth.org
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
IN, Surgery
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
IN, Surgery
-
- Pain Clinic/Center
- Henderson, KY
- NPI 1780249060
-
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
-
- Pulmonary Disease Physician
- Henderson, KY
- NPI 1871082339
-
- Emergency Medicine Physician
- Henderson, KY
- NPI 1912544958
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1053601682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S LANDMARK AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474033239",
"telephone_number": "812-355-6900",
"fax_number": "812-355-6912"
}
],
"practiceLocations": [
{
"address_1": "910 Wallace Ave",
"address_purpose": "LOCATION",
"city": "Leitchfield",
"state": "KY",
"postal_code": "427542414",
"country_code": "US",
"telephone_number": "270-259-3035",
"fax_number": "270-259-3332",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 W University Ave",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473033428",
"country_code": "US",
"telephone_number": "765-289-6381",
"fax_number": "765-448-7646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIFE",
"first_name": "LUKE",
"middle_name": "PORTWOOD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-16",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "48989",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01087459A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100428850",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lfife@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "550 S Landmark Ave",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474033239",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lfife@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 W University Ave",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473033428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.