Individual provider Active NPI

Nataliya Lukin, PA-C

  • Physician Assistant
  • Springfield, MA
National Provider Identifier
1225133879
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2190 Issued in MA
Practice address
1038 Main St # 1050
Springfield, MA 01103-2107
Phone
(413) 739-1100
Fax
(413) 735-1133
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2190 MA Primary

Addresses

Primary practice location

1038 Main St # 1050
Springfield, MA 01103-2107

Mailing address

1040 Main St
Springfield, MA 01103-2107
Phone (413) 739-1100

Other identifiers 3

IdentifierTypeStateIssuer
ML0645385JOtherMACONTROLLED SUBSTANCE REG.
2190OtherMALICENSE
1310097MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150205002159 MA Practitioner - Physician Assistant 3476550781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Health Center, IncGroup PAC ID 7315840386, 26 clinicians

Practice addresses (Care Compare)

1049 Main St
Springfield, MA 01103-2114
Phone (413) 739-1100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2190MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Health Center, Inc CurrentSince Nov 18, 2014 Accepting new patients
Caring Health Center, Inc. CurrentSince Nov 18, 2014 Accepting new patients

Locations

473 Sumner Ave
Springfield, MA 01108
Phone (413) 886-0410

1049 Main St
Springfield, MA 01103
Phone (413) 304-4606

860 Boston Rd
Springfield, MA 01119
Phone (413) 783-9616

1040 Main St
Springfield, MA 01103
Phone 41373911002127

1235 Boston Rd
Springfield, MA 01119
Phone (413) 693-1061

1038 Main St
#1050
Springfield, MA 01103
Phone (413) 693-1054

532 Sumner Ave
Springfield, MA 01108
Phone (413) 693-1045

Interoperability endpoints

  • Direct secure messaging: nlukin114160@direct.ochin.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.

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225133879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032107",
            "telephone_number": "413-739-1100",
            "fax_number": "413-735-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 MAIN ST # 1050",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032107",
            "telephone_number": "413-739-1100",
            "fax_number": "413-735-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKIN",
        "first_name": "NATALIYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "2190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REG.",
            "identifier": "ML0645385J",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2190",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1310097",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.