Individual provider Active NPI

Steven Nicholas Lukovsky, D.C.

  • Chiropractor
  • Duluth, MN
National Provider Identifier
1316082613
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3488 Issued in MN
Practice address
5602 Grand Ave
Duluth, MN 55807-2540
Phone
(218) 624-5751
Fax
(218) 624-5752
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3488 MN Primary

Addresses

Primary practice location

5602 Grand Ave
Duluth, MN 55807-2540

Mailing address

5602 Grand Ave
Duluth, MN 55807-2540
Phone (218) 624-5751

Other identifiers 4

IdentifierTypeStateIssuer
38945600OtherWIBADGER CARE
00R01LUOtherMNBLUE SHIELD
4400297OtherMNMEDICA
232025OtherMNACN CHIROCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080124000143 MN Practitioner - Chiropractic 2567544968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1996
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

211 W 4TH St
Duluth, MN 55806-2719
Phone (218) 879-1227

5602 Grand Ave
Duluth, MN 55807-2540
Phone (218) 624-5751

927 Trettel LN
Cloquet, MN 55720-1345
Phone (218) 879-1227

Merit-based Incentive Payment System (MIPS)

Final score
78.26 of 100Reported as group
Quality
80.41
Promoting interoperability
80
Improvement activities
40
Cost
53.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fond Du Lac Reservation Business Committee Current Accepting new patients
P.L. Lukovsky Chiropractic Clinic P.a. Chiropractor CurrentSince Dec 14, 1996 Accepting new patients
Fond Du Lac Reservation Business Committee CurrentSince Apr 30, 2024 Accepting new patients

Locations

927 Trettel Ln
Cloquet, MN 55720
Phone (218) 879-1227

5602 Grand Ave
Duluth, MN 55807
Phone (218) 624-5751

Interoperability endpoints

  • Direct secure messaging: steven.lukovsky.p1@direct.fonddulachsd.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316082613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 GRAND AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558072540",
            "telephone_number": "218-624-5751",
            "fax_number": "218-624-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 GRAND AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558072540",
            "telephone_number": "218-624-5751",
            "fax_number": "218-624-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKOVSKY",
        "first_name": "STEVEN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BADGER CARE",
            "identifier": "38945600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00R01LU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "4400297",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN CHIROCARE",
            "identifier": "232025",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.