Individual provider Active NPI

Luke Keith Marone, MD

  • Vascular Surgery Physician
  • Sandy Springs, GA
National Provider Identifier
1407820483
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD422385 Issued in PA
Practice address
20 Glenlake Pkwy
Sandy Springs, GA 30328-3473
Phone
(470) 620-1343
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD422385 PA Primary
Specialist 174400000X MD422385 PA

Addresses

Primary practice location

20 Glenlake Pkwy
Sandy Springs, GA 30328-3473

Mailing address

3495 Piedmont Rd NE
Atlanta, GA 30305-1717
Phone (470) 620-1343

Other identifiers 1

IdentifierTypeStateIssuer
100821731MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmarone@monvalleyhospital.com Health Information Exchange (HIE) Monongahela Valley Hospital, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101005000424 PA Practitioner - Vascular SurgeryPractitioner - General Surgery 6103018478 Reassigns benefits to 2 organizations
I20241025002614 GA Practitioner - Vascular Surgery 6103018478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Tufts University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

20 Glenlake Pkwy
Atlanta, GA 30328-3473
Phone (770) 677-6043

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD422385PAMDSpecialist
26817WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 14, 2003 Accepting new patients
Monongahela Valley Hospital Inc Current Accepting new patients
University of Pittsburgh Physicians Specialist CurrentSince Jul 14, 2003 Accepting new patients
The Southeast Permanente Medical Group CurrentSince Sep 30, 2024 Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince May 13, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince May 13, 2023 Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
Jordan Physician Associates, Inc. Vascular Surgery Past Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3649

5665 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (678) 843-7001

20 Glenlake Pkwy
Sandy Springs, GA 30328
Phone (770) 677-6247

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

1029 Country Club Rd
Ste 204
Monongahela, PA 15063
Phone (724) 258-4048

200 Lothrop St
#C800
Pittsburgh, PA 15213
Phone (412) 647-4700

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

Interoperability endpoints

  • Direct secure messaging: lmarone41262@direct.wvuhsdirect.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1407820483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051717",
            "telephone_number": "470-620-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GLENLAKE PKWY",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283473",
            "telephone_number": "470-620-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARONE",
        "first_name": "LUKE",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD422385",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD422385",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100821731",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmarone@monvalleyhospital.com",
            "affiliation": "Y",
            "endpointDescription": "Direct address",
            "affiliationName": "Monongahela Valley Hospital, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1029 Country Club Rd Ste 204",
            "city": "Monongahela",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150631564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.