Active NPI
Kevin Man Hin Luk
- Dermatology Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD61249411
- Practice address
- 660 SW 39TH St Ste 150
Renton, WA 98057-4912 - Phone
- (425) 690-3483
- Fax
- (425) 690-9083
- NPI assigned
- Apr 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD61249411 | WA | Primary |
Addresses
Primary practice location
660 SW 39TH St Ste 150
Renton, WA 98057-4912
Mailing address
660 SW 39TH St Ste 150
Renton, WA 98057-4912
Phone (425) 690-3483
Other practice location 1
1364 Clifton Rd NE
Atlanta, GA 30322-6457
Phone (912) 227-4007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Dermatology
- Education
- Emory University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
660 SW 39TH St
Suite 150
Renton, WA 98057-4912
Phone (425) 690-3485
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 30 |
| Removal of skin lesions | 549 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 270 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Current | Accepting new patients | |
| Public Hospital District #1 of King County | Past | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
3600 Lind Ave SW
Ste 100
Renton, WA 98057
660 SW 39th St
Ste 150
Renton, WA 98057
Phone (425) 690-3485
Interoperability endpoints
- kluk99578@direct.valleymed.org
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.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
-
- Rehabilitation Hospital Unit
- Renton, WA
- NPI 1811063308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662163200000",
"number": "1205323243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 SW 39TH ST STE 150",
"city": "RENTON",
"state": "WA",
"postal_code": "980574912",
"telephone_number": "425-690-3483",
"fax_number": "425-690-9083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 SW 39TH ST STE 150",
"city": "RENTON",
"state": "WA",
"postal_code": "980574912",
"telephone_number": "425-690-3483",
"fax_number": "425-690-9083"
}
],
"practiceLocations": [
{
"address_1": "1364 Clifton Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303226457",
"country_code": "US",
"telephone_number": "912-227-4007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUK",
"first_name": "KEVIN",
"middle_name": "MAN HIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-16",
"last_updated": "2022-09-03",
"certification_date": "2022-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "MD61249411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2022; 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.