Alexandra Lukianoff, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

61098 Issued in TN

Practice address

101 Westpark Dr Ste 240
Brentwood, TN 37027-5643

Phone

(860) 906-8515

NPI assigned

Jun 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, PA2 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

Specialty

General Surgery

Education

University of Connecticut School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Online Wound Care Group PLLCGroup PAC ID 8729504683, 5 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Online Wound Care Group PLLC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1487345369

  PA

  Medicare reassignment Care Compare group NPD
• Healogics Specialty Physicians of Tennessee, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Clarksville, TN
  • NPI 1932527090

  Surgery

  Medicare reassignment NPD

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

{
    "created_epoch": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1427219583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848388",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848388",
            "telephone_number": "860-533-2903",
            "fax_number": "860-533-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WESTPARK DR STE 240",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275643",
            "telephone_number": "860-906-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKIANOFF",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-21",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "61098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008057126",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LS of Nashville,PC
• Wenfu Lu, NP
• Lucas Orthodontics Brentwood, PLLC
• Cami Anailyse Lucas
• Rachael Luciano
• Mary Kathryn Lunceford-Levesque, PA-C
• Leslie Carl Lundberg
• Daryl B Lundgrin, MD
• Lux Chiropractic LLC
• Luxottica of America Inc. (Target 6749)

• Surgery Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.