Active NPI
Ernest P Luczkowski, DPM
- Foot & Ankle Surgery Podiatrist
- Beckley, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 10519
- Practice address
- 134 Beckley Crossing SHPG Ctr
Beckley, WV 25801-7100 - Phone
- (304) 252-3668
- NPI assigned
- Jun 9, 2014
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103301428 | VA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 10519 | WV | Primary |
Addresses
Primary practice location
134 Beckley Crossing SHPG Ctr
Beckley, WV 25801-7100
Mailing address
1038 N Eisenhower Dr # 315
Beckley, WV 25801-3116
Phone (304) 252-3668
Other practice location 1
3960 Teays Valley Rd
Hurricane, WV 25526-9796
Phone (304) 523-7000
Other practice location 2
6007 US Route 60 E
Barboursville, WV 25504-1042
Phone (304) 523-7000
Other practice location 3
401 6th Ave
Montgomery, WV 25136-2116
Phone (304) 442-9255
Other practice location 4
3708 S Main St
Blacksburg, VA 24060-7007
Phone (540) 552-3668
Other practice location 5
5504 MacCorkle Ave SE
Charleston, WV 25304-2320
Phone (304) 926-8637
Other practice location 6
2036 Leatherwood Ln
Bluefield, VA 24605-2020
Phone (276) 322-1800
Other practice location 7
833 Cook Parkway
Oceana, WV 24870
Phone (304) 682-5080
Other practice location 8
401 Rogers St
Princeton, WV 24740-3636
Phone (304) 553-7327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WV, VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
134 Beckley Crossing SHPG Ctr
Beckley, WV 25801-7100
Phone (304) 252-3668
3706 S Main St
Blacksburg, VA 24060-7006
Phone (540) 552-3668
Hospital & facility affiliations
- Fauquier Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 15 |
| Removal of nail tissue | 410 |
| Removal or shaving of skin growth | 117 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Foot and Ankle Clinic of the Virginias Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot and Ankle Clinic of the Virginias Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Ken E Goldstein | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
3706 S Main St
Blacksburg, VA 24060
Phone (276) 322-1800
3708 S Main St
Blacksburg, VA 24060
Phone (540) 552-3668
2036 Leatherwood Ln
Bluefield, VA 24605
Phone (276) 322-1800
134 Beckley Crossing Shpg Ctr
Beckley, WV 25801
Phone (304) 252-3668
5504 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 926-8637
3960 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 523-7000
401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151
833 Cook Pkwy
Oceana, WV 24870
Phone (304) 682-5080
401 Rogers St
Princeton, WV 24740
Interoperability endpoints
- eluczkowski@usfas.emadirect.md
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.
-
- Podiatrist
- Princeton, WV
- NPI 1740227909
Foot & Ankle Surgery, VA
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- Podiatrist
- Fayetteville, WV
- NPI 1093678922
Foot & Ankle Surgery
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Salina, OK
- NPI 1326054081
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Foot & Ankle Surgery Podiatrist
- Warrenton, VA
- NPI 1871856658
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warrenton, VA
- NPI 1912334517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1457764375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1038 N EISENHOWER DR # 315",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013116",
"telephone_number": "304-252-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 BECKLEY CROSSING SHPG CTR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258017100",
"telephone_number": "304-252-3668"
}
],
"practiceLocations": [
{
"address_1": "3960 Teays Valley Rd",
"address_purpose": "LOCATION",
"city": "Hurricane",
"state": "WV",
"postal_code": "255269796",
"country_code": "US",
"telephone_number": "304-523-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6007 US Route 60 E",
"address_purpose": "LOCATION",
"city": "Barboursville",
"state": "WV",
"postal_code": "255041042",
"country_code": "US",
"telephone_number": "304-523-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 6th Ave",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "WV",
"postal_code": "251362116",
"country_code": "US",
"telephone_number": "304-442-9255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3708 S Main St",
"address_purpose": "LOCATION",
"city": "Blacksburg",
"state": "VA",
"postal_code": "240607007",
"country_code": "US",
"telephone_number": "540-552-3668",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5504 MacCorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253042320",
"country_code": "US",
"telephone_number": "304-926-8637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2036 Leatherwood Ln",
"address_purpose": "LOCATION",
"city": "Bluefield",
"state": "VA",
"postal_code": "246052020",
"country_code": "US",
"telephone_number": "276-322-1800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "833 Cook Parkway",
"address_purpose": "LOCATION",
"city": "Oceana",
"state": "WV",
"postal_code": "24870",
"country_code": "US",
"telephone_number": "304-682-5080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 Rogers St",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "WV",
"postal_code": "247403636",
"country_code": "US",
"telephone_number": "304-553-7327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCZKOWSKI",
"first_name": "ERNEST",
"middle_name": "P",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-09",
"last_updated": "2024-05-21",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103301428",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WV",
"license": "10519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.