Active NPI
Kathryn Louise Oliver Luckett, MD
- Student in an Organized Health Care Education/Training Program
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 510 20TH St S Ste 858
Birmingham, AL 35233-2028 - Phone
- (205) 934-5188
- NPI assigned
- Apr 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
510 20TH St S Ste 858
Birmingham, AL 35233-2028
Mailing address
510 20TH St S Ste 858
Birmingham, AL 35233-2028
Phone (205) 934-5188
Other practice location 1
817 Princeton Ave SW Ste 106
Birmingham, AL 35211-1340
Phone (205) 783-7663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5220 Flanders Dr
Baton Rouge, LA 70808-9112
Phone (225) 766-5151
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 83.52
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 11 |
| Removal of skin lesions | 188 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calais Dermatology Associates | Dermatology | Current | Accepting new patients |
| DCLH, Inc. | Dermatology | Current | Accepting new patients |
Locations
3415 Independence Dr
Ste 200
Birmingham, AL 35209
Phone (205) 871-7332
5406 Highway 280
Ste A100
Hoover, AL 35242
Phone (205) 871-7332
5220 Flanders Dr
Baton Rouge, LA 70808
Phone (225) 766-3437
Interoperability endpoints
- kluckett@calaisdermatology.emadirect.md
Organizations & group practices 2
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.
-
- Dermatology Physician
- Baton Rouge, LA
- NPI 1093742769
-
- Dermatology Physician
- Birmingham, AL
- NPI 1265663926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580601600000",
"number": "1124525464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 20TH ST S STE 858",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352332028",
"telephone_number": "205-934-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 20TH ST S STE 858",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352332028",
"telephone_number": "205-934-5188"
}
],
"practiceLocations": [
{
"address_1": "817 Princeton Ave SW Ste 106",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352111340",
"country_code": "US",
"telephone_number": "205-783-7663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCKETT",
"first_name": "KATHRYN",
"middle_name": "LOUISE OLIVER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-12",
"last_updated": "2020-02-02",
"certification_date": "2020-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2020; 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.