Individual provider Active NPI

Luke Maschmeyer, MD

  • Pediatrics Physician
  • Collierville, TN
National Provider Identifier
1275024499
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
63725 Issued in TN
Practice address
511 Market Blvd Ste 105
Collierville, TN 38017-2360
Phone
(901) 457-2880
Fax
(901) 457-2881
NPI assigned
May 23, 2018
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 63725 TN Primary

Addresses

Primary practice location

511 Market Blvd Ste 105
Collierville, TN 38017-2360

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

871 Ridgeway Loop Rd Ste 200
Memphis, TN 38120-4007
Phone (901) 821-9990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20180823000047 TN Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7113276213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63725TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Group LLC Pediatrics Past Accepting new patients
Methodist Healthcare - Memphis Hospitals PastSince Apr 6, 2025 Accepting new patients
Pediatric Consultants, P.C. Pediatrics Past Accepting new patients
Pediatric Emergency Specialists, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lmaschmeyer29636@mlh.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1275024499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MARKET BLVD STE 105",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172360",
            "telephone_number": "901-457-2880",
            "fax_number": "901-457-2881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "871 Ridgeway Loop Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381204007",
            "country_code": "US",
            "telephone_number": "901-821-9990",
            "fax_number": "901-921-9991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASCHMEYER",
        "first_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-23",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "63725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.