NPIMap

Individual provider Active NPI

Lucas Marian Kogut, MD

  • Family Medicine Physician
  • Bremerton, WA
National Provider Identifier
1225753684
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ML61480918 Issued in WA
Practice address
315 NE Saturn LN
Bremerton, WA 98311-7923
Phone
(360) 979-3919
NPI assigned
Oct 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ML61480918 WA Primary

Addresses

Primary practice location

315 NE Saturn LN
Bremerton, WA 98311-7923

Mailing address

315 NE Saturn LN
Bremerton, WA 98311-7923
Phone (360) 979-3919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208001535 WA Practitioner - General Practice 9638528102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cura HealthcareGroup PAC ID 5799143103, 81 clinicians

Practice addresses (Care Compare)

5821 188TH St SW
Lynnwood, WA 98037-4304
Phone (505) 413-3719

Hospital & facility affiliations

  • Lynnwood Post Acute Rehabilitation Center Nursing home, Lynnwood, WA, CCN 505434
  • Marianwood Health and Rehabilitation Nursing home, Issaquah, WA, CCN 505418
  • Cascades of St Anne Nursing home, Seattle, WA, CCN 505417
  • Heartwood Extended Healthcare Nursing home, Tacoma, WA, CCN 505326

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Medical Specialty Group CurrentSince Oct 28, 2023 Accepting new patients
Cura Healthcare Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
BD Tacoma I, LLC Past Accepting new patients
Lynnwood Health Services, Inc. Past Accepting new patients
Heartwood Operator LLC Past Accepting new patients
Sequim Rehabilitation LLC Past Accepting new patients
Alaska Gardens SNF Operations LLC Past Accepting new patients

Locations

5821 188th St SW
Lynnwood, WA 98037
Phone (425) 776-5512

7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530

3020 S Union Ave
Tacoma, WA 98409
Phone (253) 844-4327

917 Pacific Ave
Ste 600
Tacoma, WA 98402
Phone (253) 232-7495

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alaska Gardens Health and Rehabilitation CenterTacoma, WA, CCN 505483 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2021
Jul 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 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": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1225753684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NE SATURN LN",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983117923",
            "telephone_number": "360-979-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NE SATURN LN",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983117923",
            "telephone_number": "360-979-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGUT",
        "first_name": "LUCAS",
        "middle_name": "MARIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-07",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML61480918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.