Individual provider Active NPI

Kevin Man Hin Luk

  • Dermatology Physician
  • Renton, WA
National Provider Identifier
1205323243
Registry record updated Sep 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD61249411 Issued in WA
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

Updated by the provider on Sep 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916002782 WA Practitioner - Dermatology 5799035796 Reassigns benefits to 1 organization

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
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

660 SW 39TH St
Suite 150
Renton, WA 98057-4912
Phone (425) 690-3485

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of skin lesions549
Removal or shaving of skin growth1-10
Skin biopsy270

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group-Renton CurrentSince Sep 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.