NPIMap

Organization Active NPI

St. Luke's Hospital of Duluth

Doing business as Aspirus St Lukes Clinic Duluth Vascular Surgery

  • Vascular Surgery Physician
  • Duluth, MN
National Provider Identifier
1306380571
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
ST. LUKE'S HOSPITAL OF DULUTH
Doing business as
Aspirus St Lukes Clinic Duluth Vascular Surgery
Aspirus St. Luke's Clinic Duluth Vascular Surgery
Practice address
1000 E 1St St Ste 203
Duluth, MN 55805-2297
Phone
(218) 249-6450
Fax
(218) 249-6451
NPI assigned
Dec 7, 2016
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Lori Peck
Title
SVP- Chief Financial Officer
Phone
(715) 847-2575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

1000 E 1St St Ste 203
Duluth, MN 55805-2297

Mailing address

1000 E 1St St Ste 203
Duluth, MN 55805-2297
Phone (218) 249-6450

Other names 2

  • Aspirus St Lukes Clinic Duluth Vascular Surgery Doing business as
  • Aspirus St. Luke's Clinic Duluth Vascular Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000212 MN Part B Supplier - Clinic/Group Practice 7113834839 Receives reassigned benefits from 584 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Grand Rapids, MN; Duluth, MN; Hibbing, MN; Moose Lake, MN; Proctor, MN; Silver Bay, MN; Two Harbors, MN; Virginia, MN…

National Provider Directory

National Provider Directory
Tax ID family
St Lukes Hosp Assn of D49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1306380571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 1ST ST STE 203",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052297",
            "telephone_number": "218-249-6450",
            "fax_number": "218-249-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 1ST ST STE 203",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052297",
            "telephone_number": "218-249-6450",
            "fax_number": "218-249-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S HOSPITAL OF DULUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "SVP- CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "715-847-2575"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus St Lukes Clinic Duluth Vascular Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspirus St. Luke's Clinic Duluth Vascular Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.