Luke Vincent Fuhrman, MD
Individual provider Active NPI Family Medicine Physician · Canby, MN
NPI 1336602010 · NPPES record last updated Nov 4, 2022
Key facts
- NPI
- 1336602010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 13875 (SD)
- Practice address
- 112 Saint Olaf Ave S
Canby, MN 56220-1433 - Phone
- (507) 223-7221
- NPI assigned
- Apr 10, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Health Network
Practice addresses (Care Compare)
112 Saint Olaf Ave S
Canby, MN 56220-1433
Phone (507) 223-7277
Hospital & facility affiliations
- Sanford Canby Medical Center Home Care
- Sanford Hospice
- Sanford Canby Medical Center
- Sanford Usd Medical Center
- Sanford Clear Lake Medical Center
- Avera Marshall Regional Medical Ctr
- Sanford Health Sylvan Court
- Sanford Canby Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.53 of 100
- Quality
- 80.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SD, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221109002224 | SD | Practitioner - Family Practice | 7012384795 | Reassigns benefits to 2 organizations |
| I20221111001511 | MN | Practitioner - Family Practice | 7012384795 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13875 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Family Medicine | Current | Accepting new patients |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Family Medicine | Current | Accepting new patients |
| Sanford Health Network | Past | Accepting new patients | |
| Sanford Health Network | Family Medicine | Past | Accepting new patients |
Locations
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 13875 | SD | Yes |
Addresses
Primary practice location
112 Saint Olaf Ave S
Canby, MN 56220-1433
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
1919 Lincoln Way Ste 315
Coeur D Alene, ID 83814-2527
Phone (208) 625-6000
NPI Registry JSON
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1336602010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SAINT OLAF AVE S",
"city": "CANBY",
"state": "MN",
"postal_code": "562201433",
"telephone_number": "507-223-7221"
}
],
"practiceLocations": [
{
"address_1": "1919 Lincoln Way Ste 315",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838142527",
"country_code": "US",
"telephone_number": "208-625-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUHRMAN",
"first_name": "LUKE",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-10",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "13875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canby, MN
- Canby Drug & Gifts Inc
- Canby Drug & Gifts Inc
- Canby Public Schools Isd 891
- Michelle Marie Danielson
- Megan Jo Driessen
- Holly L Gisi-York
- Adam Lee Hoffmann
- Jennifer Jackson
- Jorzach Inc
- Craig Roy Kaddatz
All providers in Canby, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.