Individual provider Active NPI

Luke Nientimp, DO

  • Internal Medicine Physician
  • Erie, PA
National Provider Identifier
1154959237
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS022611 Issued in PA
Practice address
300 State St Ste 103a
Erie, PA 16507-1471
Phone
(814) 877-8540
Fax
(814) 877-8541
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 58.031336 OH
Internal Medicine Physician 207R00000X OS022611 PA Primary

Addresses

Primary practice location

300 State St Ste 103a
Erie, PA 16507-1471

Mailing address

330 Indiana Dr
Erie, PA 16505-2126
Phone (814) 823-4803

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230614000988 PA Practitioner - Internal Medicine 3971934001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

300 State St
Erie, PA 16507-1427
Phone (814) 877-6111

300 State St
103A
Erie, PA 16507-1471
Phone (814) 454-6390

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Erie, PA, CCN 398315
  • Upmc Home Healthcare Home health agency, Erie, PA, CCN 397157
  • Family Hospice Hospice, Erie, PA, CCN 391605
  • Upmc Hamot Hospital, Erie, PA, CCN 390063

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58.031336OHMDInternal Medicine Physician
OS022611PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

300 State St
Ste 103A
Erie, PA 16507
Phone (814) 454-6390

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

Interoperability endpoints

  • Direct secure messaging: lnientimp186740@upmc.direct-ci.com
  • Direct secure messaging: luke.c.nientimp@upmcdirect.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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1154959237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 INDIANA DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052126",
            "telephone_number": "814-823-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 103A",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071471",
            "telephone_number": "814-877-8540",
            "fax_number": "814-877-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIENTIMP",
        "first_name": "LUKE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "58.031336",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS022611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.