Individual provider Active NPI

Kevin Marcus Luks, PA

  • Medical Physician Assistant
  • Delray Beach, FL
National Provider Identifier
1235738659
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9113553 Issued in FL
Practice address
13660 S Jog Rd Ste 1B
Delray Beach, FL 33446-3806
Phone
(561) 499-6622
Fax
(561) 499-6795
NPI assigned
Oct 19, 2020
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9113553 FL
Medical Physician Assistant 363AM0700X PA9113553 FL Primary

Addresses

Primary practice location

13660 S Jog Rd Ste 1B
Delray Beach, FL 33446-3806

Mailing address

13660 S Jog Rd Ste 1B
Delray Beach, FL 33446-3806
Phone (561) 499-6622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210422000182 FL Practitioner - Physician Assistant 6608284187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Medi Partners of South Florida, LLCGroup PAC ID 8628123577, 3 clinicians

Practice addresses (Care Compare)

13550 S Jog Rd
100 Cora Physical Therapy W Delray Beac
Delray Beach, FL 33446-3808
Phone (561) 496-5144

9600 NE 2ND Ave
Miami Shores, FL 33138-2722
Phone (305) 603-7650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBEGCD/Endpoint/JBEGCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1235738659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 S JOG RD STE 1B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463806",
            "telephone_number": "561-499-6622",
            "fax_number": "561-499-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 S JOG RD STE 1B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463806",
            "telephone_number": "561-499-6622",
            "fax_number": "561-499-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKS",
        "first_name": "KEVIN",
        "middle_name": "MARCUS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-19",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113553",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.