Lukas M Nystrom, M.D.

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

License

35.130861 Issued in OH

Practice address

9500 Euclid Ave # A40
Cleveland, OH 44195-3328

Phone

(216) 445-7164

Fax

(216) 445-1638

NPI assigned

Jun 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic SurgeryAlso: Surgical Oncology

Education

University of Minnesota Medical School, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Menorah Park Center for Senior LivingGroup PAC ID 3577469444, 79 clinicians

Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Home Care Home health agency, Independence, OH, CCN 367142
• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
• Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
• Ashtabula County Medical Center Hospital, Ashtabula, OH, CCN 360125

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment Care Compare group NPD
• Mrs Physical Therapy

  • Physical Therapist
  • Erie, PA
  • NPI 1306893763
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashtabula County Medical Center

  • General Acute Care Hospital
  • Ashtabula, OH
  • NPI 1285607416
  Care Compare affiliation
• Cleveland Clinic Foundation Cleveland Clinic Home Care

  • Home Health Agency
  • Independence, OH
  • NPI 1225009442
  Care Compare affiliation
• Cleveland Clinic Health System - East Region

  • General Acute Care Hospital
  • Mayfield HTS, OH
  • NPI 1902858152
  Care Compare affiliation
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1366648081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CLEVELAND CLINIC A40",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-445-7164",
            "fax_number": "216-445-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # A40",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441953328",
            "telephone_number": "216-445-7164",
            "fax_number": "216-445-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYSTROM",
        "first_name": "LUKAS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "OH",
            "license": "35.130861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Nye, CRNA
• Kiernan Zachary Nye
• Sarah Louise Condio Nygard, DO
• Debra J Nypaver, CRNA
• Jakob Nypaver
• Daniel Patrick O'Brian
• Allison N O'Brien
• Andrea Lyn O'Brien, LPCC
• Blissamber Snow White O'Brien
• Jill O'Brien

• Orthopaedic Trauma Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Orthopaedic Trauma Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.

Verify at the official NPI Registry.