Active NPI
John Richard Luksch, D.O.
- Sports Medicine (Family Medicine) Physician
- Glen Mills, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 25MB09553700
- Practice address
- 600 Evergreen Dr Ste 201
Glen Mills, PA 19342-1053 - Phone
- (267) 339-3558
- Fax
- (267) 339-3763
- NPI assigned
- Jun 22, 2012
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | OS018364 | PA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 25MB09553700 | NJ | Primary |
Addresses
Primary practice location
600 Evergreen Dr Ste 201
Glen Mills, PA 19342-1053
Mailing address
833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (267) 339-7843
Other practice location 1
650 Carnegie Blvd Fl 2
Malvern, PA 19355-8519
Phone (267) 339-3558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Sports Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
600 Evergreen Dr
201 Rothman Institute
Glen Mills, PA 19342-1053
Phone (800) 321-9999
Hospital & facility affiliations
- Chester County Hospital
- Riddle Memorial Hospital
- Paoli Hospital
- Hospital of Univ of Pennsylvania
- Bryn Mawr Hospital
- Bryn Mawr Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.32 of 100
- Quality
- 79.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS018364 | PA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reconstructive Orthopaedic Associates II LLC | Current | Accepting new patients | |
| Reconstructive Orthopaedic Associates II LLC | Sports Medicine | Current | Accepting new patients |
Locations
999 Route 73 N
Fl 3
Marlton, NJ 08053
999 Route 73 N
Ste 401
Marlton, NJ 08053
600 Evergreen Dr
Ste 201
Glen Mills, PA 19342
Phone (484) 818-2225
600 Evergreen Dr
Fl 2
Glen Mills, PA 19342
650 Carnegie Blvd
Fl 2
Malvern, PA 19355
833 Chestnut St
Ste 1402
Philadelphia, PA 19107
Phone (267) 339-3543
833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191
925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738
Interoperability endpoints
- john.luksch@rot.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rothman Orthopaedics Institute
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1861433278
Sports Medicine
-
dba Rothman Orthopaedics Institute
- Prosthetic/Orthotic Supplier
- Philadelphia, PA
- NPI 1497571830
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
dba Bryn Mawr Rehabilitation Hospital
- Rehabilitation Hospital
- Malvern, PA
- NPI 1396850368
Inpatient rehabilitation facility
-
dba Bryn Mawr Hospital
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
-
dba Hospital of the University of Pennsylvania
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1144583188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST STE 520",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074430",
"telephone_number": "267-339-7843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 EVERGREEN DR STE 201",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193421053",
"telephone_number": "267-339-3558",
"fax_number": "267-339-3763"
}
],
"practiceLocations": [
{
"address_1": "650 Carnegie Blvd Fl 2",
"address_purpose": "LOCATION",
"city": "Malvern",
"state": "PA",
"postal_code": "193558519",
"country_code": "US",
"telephone_number": "267-339-3558",
"fax_number": "267-339-3763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUKSCH",
"first_name": "JOHN",
"middle_name": "RICHARD",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-22",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "PA",
"license": "OS018364",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NJ",
"license": "25MB09553700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Mills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.