Individual provider Active NPI

James N Luckett, MD

  • Internal Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1114938495
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME78115 Issued in FL
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

Updated by the provider on Mar 7, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040722000219 FL Practitioner - Internal Medicine 3375523228 Reassigns benefits to 2 organizations

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
Broward Medical and Urgent Care IncGroup PAC ID 0042342057, 2 clinicians

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 Hospital, Ft Lauderdale, FL, CCN 100073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME78115FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Medical & Urgent Care Inc CurrentSince Nov 25, 2024 Accepting new patients
James N Luckett Jr MD PA Internal Medicine CurrentSince Feb 1, 2008 Accepting new patients
The Poverello Center Inc CurrentSince Feb 27, 2025 Accepting new patients
Lifeway Inc Internal Medicine PastSince Feb 1, 2001 Accepting new patients
Midland Medical Broward LLC PastSince Aug 1, 2006 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

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.