Active NPI
Luke Nientimp, DO
- Internal Medicine Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS022611
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Keystone Rehabilitation Systems Inc
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.
- Upmc Home Healthcare
- Family Hospice
- Upmc Hamot
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.89 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 58.031336 | OH | MD | Internal Medicine Physician |
| OS022611 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Services Inc | Internal Medicine | Current | 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
- lnientimp186740@upmc.direct-ci.com
- 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.
-
- Physical Therapist
- Erie, PA
- NPI 1306893763
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Erie, PA
- NPI 1881004026
-
- Home Health Agency
- Erie, PA
- NPI 1699014159
-
- General Acute Care Hospital
- Erie, PA
- NPI 1487647590
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
-
- Community Based Hospice Care Agency
- Erie, PA
- NPI 1790199511
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.