Individual provider Active NPI

Enrique Luks, M.D.

  • Pediatrics Physician
  • Lehigh Acres, FL
National Provider Identifier
1346219706
Registry record updated Aug 3, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Nov 19, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME65236 Issued in FL
Practice address
222 Plaza Dr
Lehigh Acres
Lehigh Acres, FL 33936-6018
Phone
(239) 368-5437
Fax
(239) 369-0880
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME65236 FL Primary

Addresses

Primary practice location

222 Plaza Dr
Lehigh Acres
Lehigh Acres, FL 33936-6018

Mailing address

222 Plaza Dr
Okeechobee
Lehigh Acres, FL 33936-6018
Phone (239) 368-5437

Other identifiers 1

IdentifierTypeStateIssuer
374378199MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME65236FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Centers of Lee County Pediatrics Past Accepting new patients
Pediatric Centers of Lee Co Pediatrics Past Accepting new patients

Organizations & group practices 2

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1346219706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PLAZA DR",
            "address_2": "OKEECHOBEE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366018",
            "telephone_number": "239-368-5437",
            "fax_number": "239-369-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PLAZA DR",
            "address_2": "LEHIGH ACRES",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366018",
            "telephone_number": "239-368-5437",
            "fax_number": "239-369-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKS",
        "first_name": "ENRIQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME65236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374378199",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.