Individual provider Active NPI

Mrunali Luke, MD

  • Family Medicine Physician
  • Butler, PA
National Provider Identifier
1306033014
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD445031 Issued in PA
Practice address
116 Woody Dr
Butler, PA 16001-5692
Phone
(833) 604-7215
Fax
(724) 287-4128
NPI assigned
Sep 26, 2007
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT193275 PA
Obstetrics & Gynecology Physician 207V00000X 4301091142 MI
Family Medicine Physician 207Q00000X MD445031 PA Primary

Addresses

Primary practice location

116 Woody Dr
Butler, PA 16001-5692

Mailing address

116 Woody Dr
Butler, PA 16001-5692
Phone (338) 604-7215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120612000376 PA Practitioner - Family PracticePractitioner - Addiction Medicine 3779747308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

131 E Cunningham St
BHS Primary Care East Cunningham
Butler, PA 16001-5903
Phone (833) 391-0739

203 High Pointe Dr
Suite 100
Seven Fields, PA 16046-7921
Phone (724) 742-1250

24 Doctors LN
Clarion, PA 16214-8574

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD445031PAMDFamily Medicine Physician
MT193275PAMDFamily Medicine Physician
4301091142MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Jan 1, 2016 Accepting new patients
Butler Medical Providers Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

116 Woody Dr
Butler, PA 16001
Phone (724) 287-8500

131 E Cunningham St
Butler, PA 16001
Phone (724) 283-0212

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

Interoperability endpoints

  • Direct secure messaging: mrunali.luke@direct-address.net

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1306033014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WOODY DR",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015692",
            "telephone_number": "338-604-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WOODY DR",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015692",
            "telephone_number": "833-604-7215",
            "fax_number": "724-287-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKE",
        "first_name": "MRUNALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT193275",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301091142",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD445031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.