Active NPI
Lucas Hultman
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5485
- Practice address
- 100 UCLA Medical Plaza Suite 460
Los Angeles, CA 90095 - Phone
- (310) 443-8999
- NPI assigned
- Apr 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E5485 | CA | Primary |
Addresses
Primary practice location
100 UCLA Medical Plaza Suite 460
Los Angeles, CA 90095
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
11301 Wilshire Blvd
Bldg 500, Dept of Surgery, #10-H-2
Los Angeles, CA 90073-1003
Phone (310) 268-3510
Other practice location 2
11301 Wilshire Blvd
Bldg 500, Dept of Surgery, #10-H-2
Los Angeles, CA 90073-1003
Phone (310) 268-3510
Other names 1
- Luke Hultman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 UCLA Medical PLZ
Suite 460
Los Angeles, CA 90024-7000
Phone (310) 443-8999
757 Westwood PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-9111
Hospital & facility affiliations
- Ronald Reagan UCLA Medical Center
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.42 of 100
- Quality
- 68.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 57 |
| Removal of nail tissue | 578 |
| Removal or shaving of skin growth | 299 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5485 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| UCLA Medical Group | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients |
Locations
100 UCLA Medical Plz
Ste 460
Los Angeles, CA 90024
Phone (310) 443-8999
100 Medical Plz
Ste 460
Los Angeles, CA 90095
Phone (310) 825-6481
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
2001 Santa Monica Blvd
Ste 1060
Santa Monica, CA 90404
Phone (310) 582-1940
Interoperability endpoints
- lhultman466068@direct.uclahealth.org
Organizations & group practices 5
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.
-
- Podiatrist
- Los Angeles, CA
- NPI 1750723540
-
- Durable Medical Equipment & Medical Supplies
- Valencia, CA
- NPI 1285507103
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1316301807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 UCLA MEDICAL PLAZA SUITE 460",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90095",
"telephone_number": "310-443-8999"
}
],
"practiceLocations": [
{
"address_1": "11301 Wilshire Blvd",
"address_2": "Bldg 500, Dept of Surgery, #10-H-2",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900731003",
"country_code": "US",
"telephone_number": "310-268-3510",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11301 Wilshire Blvd",
"address_2": "Bldg 500, Dept of Surgery, #10-H-2",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900731003",
"country_code": "US",
"telephone_number": "310-268-3510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HULTMAN",
"first_name": "LUCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-11",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E5485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LUKE",
"last_name": "HULTMAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.