St. Luke'S Hospital of Duluth
Organization Active NPI Surgery Physician · Duluth, MN
NPI 1083668784 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1083668784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- ST. LUKE'S HOSPITAL OF DULUTH
- Practice address
- 920 E 1St St Ste 302
Duluth, MN 55805-2225 - Phone
- (218) 249-6050
- NPI assigned
- May 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Lori Peck
- Title
- SVP- Chief Financial Officer
- Phone
- (715) 847-2575
Other NPIs on the same Medicare enrollment 11
Practitioners 10
-
David S Arvold, M.D.
-
Shannon Brookhouser, PA-C
-
Abigail Frances Bushey, PA-C
-
Anne T Goldschmidt, M.D.
-
Nicole Lillian Hatcher, PA-C
-
Jay R Knuths, MD
-
Kevin Joseph Mueller, O.D.
-
Mariya Ellen Skube, M.D.
-
Robert G Jacoby, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, WI
Medicare enrollment records
| 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… |
| O20040323000234 | WI | Part B Supplier - Clinic/Group Practice | 7113834839 |
Receives reassigned benefits from 88 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ashland, WI; Washburn, WI; Superior, WI; South Range, WI; Mellen, WI |
National Provider Directory
Locations
1001 E Superior St
Ste 401
Duluth, MN 55802
Phone (218) 249-6523
920 E 1st St
Ste 302
Duluth, MN 55805
Phone (218) 249-6050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
920 E 1St St Ste 302
Duluth, MN 55805-2225
Mailing address
920 E 1St St Ste 302
Duluth, MN 55805-2225
Phone (218) 249-6050
Other names
- ASPIRUS ST. LUKE'S CLINIC - DULUTH - GENERAL SURGERY - 920 E 1ST ST
Other providers in Duluth, MN
- St. Luke'S Hospital of Duluth
- St. Luke'S Hospital of Duluth
- St. Luke'S Hospital of Duluth
- St. Luke'S Hospital of Duluth
- St. Luke'S Hospital of Duluth
- St. Luke'S Hospital of Duluth
- St. Luke'S Hospital of Duluth
- St. Luke'S Hospital of Duluth
- St. Luke'S Hospital of Duluth
- St. Luke'S Hospital of Duluth
All providers in Duluth, MN · Surgery Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.