Wilfredo Siy Lukban, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD063487-L Issued in PA

Practice address

501 N Lansdowne Ave
Drexel Hill, PA 19026-1114

Phone

(610) 284-8100

Fax

(610) 284-8993

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

97.13 of 100Reported as apm

Quality

82.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St. Luke'S Physician Group, Inc.

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment NPD
• St Luke'S Physician Group Inc

  • Internal Medicine Physician
  • Bethlehem, PA
  • NPI 1134151244
  NPD
• St Luke'S Physician Group Inc

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• Central Montgomery Medical Center LLC

  • Hospitalist Physician
  • Lansdale, PA
  • NPI 1013011246
  NPD (past)
• Health Access Network

  • Physical Medicine & Rehabilitation Physician
  • Chester, PA
  • NPI 1356460380
  NPD (past)
• Titusville Area Health Services, Inc.

  • Surgery Physician
  • Titusville, PA
  • NPI 1255349981
  NPD (past)
• Titusville Area Health Services, Inc.

  • Family Medicine Physician
  • Titusville, PA
  • NPI 1639189889
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1215010251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N LANSDOWNE AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261114",
            "telephone_number": "610-284-8100",
            "fax_number": "610-284-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N LANSDOWNE AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261114",
            "telephone_number": "610-284-8100",
            "fax_number": "610-284-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKBAN",
        "first_name": "WILFREDO",
        "middle_name": "SIY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD063487-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Trust Homecare LLC
• Chung Eang Lip
• Living Well Comprehensive Pain Center PC
• Elizabeth B Louka, M.D.
• Loving Heart Behaviorial & Rehabilitation Services
• Pamela Miller Lunardi, PSY.D
• M. Morse Michels PC
• Kimberly Mackason
• Robert C Madonna Jr., DO
• Nmadinaobi Maduemezia, OD

• Internal Medicine Physician in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.

Verify at the official NPI Registry.