Active NPI
James N Luckett, MD
- Internal Medicine Physician
- Ft Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME78115
- Practice address
- 2020 E Oakland Park Blvd
Ft Lauderdale, FL 33306-1106 - Phone
- (954) 566-2160
- Fax
- (954) 566-2180
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME78115 | FL | Primary |
Addresses
Primary practice location
2020 E Oakland Park Blvd
Ft Lauderdale, FL 33306-1106
Mailing address
2020 E Oakland Park Blvd
Ft Lauderdale, FL 33306-1106
Phone (954) 566-2160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Louisville School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 SE 20 St
Fort Lauderdale, FL 33316-2846
Phone (954) 462-7558
103 SE 20TH St
Ft Lauderdale, FL 33316-2846
4800 NE 20TH Ter
Suite 101
Ft Lauderdale, FL 33308-4510
Phone (954) 566-2160
Hospital & facility affiliations
- Holy Cross Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME78115 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broward Medical & Urgent Care Inc | Current | Accepting new patients | |
| James N Luckett Jr MD PA | Internal Medicine | Current | Accepting new patients |
| The Poverello Center Inc | Current | Accepting new patients | |
| Lifeway Inc | Internal Medicine | Past | Accepting new patients |
| Midland Medical Broward LLC | Past | Accepting new patients | |
| Yvonne R S Sherrer MD PA | Past | Accepting new patients |
Locations
4800 NE 20th Ter
Ste C101
Fort Lauderdale, FL 33308
2020 E Oakland Park Blvd
Ft Lauderdale, FL 33306
Phone (954) 566-2160
103 SE 20th St
Ft Lauderdale, FL 33316
Phone (954) 462-7558
4800 NE 20th Ter
Ste 101
Ft Lauderdale, FL 33308
Phone (954) 566-2160
2056 N Dixie Hwy
Wilton Manors, FL 33305
Phone (954) 561-3663
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- james.luckett.jr.1@14958.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Ft Lauderdale, FL
- NPI 1447465547
-
- Internal Medicine Physician
- Ft Lauderdale, FL
- NPI 1811175144
-
- Voluntary or Charitable Agency
- Wilton Manors, FL
- NPI 1821021361
-
- Internal Medicine Physician
- Oakland Park, FL
- NPI 1568477156
-
- Family Medicine Physician
- Oakland Park, FL
- NPI 1447305339
-
- Rheumatology Physician
- Oakland Park, FL
- NPI 1912056110
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1114938495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 E OAKLAND PARK BLVD",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333061106",
"telephone_number": "954-566-2160",
"fax_number": "954-565-0876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 E OAKLAND PARK BLVD",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333061106",
"telephone_number": "954-566-2160",
"fax_number": "954-566-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKETT",
"first_name": "JAMES",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME78115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.