Individual provider Active NPI

Samuel R Luka, M.D.

  • Colon & Rectal Surgery Physician
  • Westwood, KS
National Provider Identifier
1225329808
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
04-44083 Issued in KS
Practice address
2650 Shawnee Mission Pkwy
Westwood, KS 66205-2003
Phone
(913) 588-7750
NPI assigned
Apr 29, 2011
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 04-44083 KS
Colon & Rectal Surgery Physician 208C00000X 04-44083 KS Primary

Addresses

Primary practice location

2650 Shawnee Mission Pkwy
Westwood, KS 66205-2003

Mailing address

4000 Cambridge St # Ms 2005
Kansas City, KS 66160-8501
Phone (913) 588-7750

Other practice location 1

10710 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 588-7750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20210111001731 KS Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 9436403946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Saint Louis University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

10710 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 588-1227

10720 Nall Ave
Overland Park, KS 66211-1206

10790 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 588-1227

11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368

2650 Shawnee Mission Pkwy
Westwood, KS 66205-2003

3901 Rainbow Blvd
Kansas City, KS 66160-7330
Phone (913) 588-6144

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013

4000 Cambridge St
Kansas City, KS 66160-8500

4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-44083KSMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Surgery Current Accepting new patients
Kansas University Physicians Inc CurrentSince Jan 11, 2021 Accepting new patients
Kansas University Physicians Inc Surgery CurrentSince Jan 11, 2021 Accepting new patients
University of Kansas Hospital Authority Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
#2005
Kansas City, KS 66160
Phone (913) 588-1214

11300 Corporate Ave
Ste 300
Lenexa, KS 66219

10710 Nall Ave
Overland Park, KS 66211
Phone (913) 588-9700

Interoperability endpoints

  • Direct secure messaging: sluka661331@direct.kuha.org

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 3

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": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1225329808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST # MS 2005",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608501",
            "telephone_number": "913-588-7750",
            "fax_number": "913-945-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SHAWNEE MISSION PKWY",
            "city": "WESTWOOD",
            "state": "KS",
            "postal_code": "662052003",
            "telephone_number": "913-588-7750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10710 Nall Ave",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662111206",
            "country_code": "US",
            "telephone_number": "913-588-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKA",
        "first_name": "SAMUEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-29",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-44083",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "KS",
            "license": "04-44083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, KS

Sources for this page

Verify at the official NPI Registry.