Active NPI
Lukasz J Curylo, M.D.
- Orthopaedic Surgery of the Spine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 2003011625
- Practice address
- 621 S New Ballas Rd Ste 589a
Saint Louis, MO 63141 - Phone
- (314) 690-8383
- Fax
- (314) 582-1022
- NPI assigned
- Jun 4, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2003011625 | MO | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 2003011625 | MO | Primary |
Addresses
Primary practice location
621 S New Ballas Rd Ste 589a
Saint Louis, MO 63141
Mailing address
PO Box 31218
Saint Louis, MO 63131-0218
Phone (314) 690-8383
Other practice location 1
845 N New Ballas Ct
Suite 200
Saint Louis, MO 63141-7134
Phone (314) 983-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209159805 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
621 S New Ballas Rd
Suite 589a
Saint Louis, MO 63141-8261
Phone (314) 690-8383
Hospital & facility affiliations
- Mercy Hospital St Louis
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 127 |
| Laminectomy or laminotomy (partial removal of spine bones) | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revival Spine Surgery LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
621 S New Ballas Rd
Ste 589A
Saint Louis, MO 63141
Phone (314) 251-6285
Interoperability endpoints
- lcurylo134775@direct.carenet.org
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Saint Louis, MO
- NPI 1972005676
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530403200000",
"number": "1366481764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31218",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631310218",
"telephone_number": "314-690-8383",
"fax_number": "314-582-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 589A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-690-8383",
"fax_number": "314-582-1022"
}
],
"practiceLocations": [
{
"address_1": "845 N New Ballas Ct",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631417134",
"country_code": "US",
"telephone_number": "314-983-4700",
"fax_number": "314-692-9862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CURYLO",
"first_name": "LUKASZ",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2018-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2003011625",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MO",
"license": "2003011625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209159805",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2018; 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.