NPIMap

Individual provider Active NPI

Kornel Lukacs, MD

  • Neurology Physician
  • Altoona, PA
National Provider Identifier
1164443354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD037451E Issued in PA
Practice address
312 Union Ave
Altoona, PA 16602-3250
Phone
(814) 944-3347
Fax
(814) 949-2374
NPI assigned
Jul 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD037451E PA Primary

Addresses

Primary practice location

312 Union Ave
Altoona, PA 16602-3250

Mailing address

312 Union Ave
Altoona, PA 16602-3250
Phone (814) 944-3347

Other identifiers 3

IdentifierTypeStateIssuer
189242OtherPAPA BLUE SHIELD
0011351960006MedicaidPA
130003415OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513000359 PA Practitioner - NeurologyPractitioner - Pain Management 7315075256 Reassigns benefits to 1 organization
Practice locations: Altoona, PA

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2006 Bellmeade Dr
Altoona, PA 16602-7504
Phone (814) 944-3347

312 Union Ave
Altoona, PA 16602-3250

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Department of Human Services CurrentSince Jul 17, 2011 Accepting new patients
Pennsylvania Department of Public Welfare CurrentSince Jul 17, 2011 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

4501 Admiral Peary Hwy
Ebensburg, PA 15931
Phone (814) 472-0200

1000 US Highway 522
Selinsgrove, PA 17870
Phone (570) 372-5601

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164443354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 UNION AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023250",
            "telephone_number": "814-944-3347",
            "fax_number": "814-949-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 UNION AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023250",
            "telephone_number": "814-944-3347",
            "fax_number": "814-949-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKACS",
        "first_name": "KORNEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD037451E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "189242",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011351960006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130003415",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.