Individual provider Active NPI

Ernest P Luczkowski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Beckley, WV
National Provider Identifier
1457764375
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
10519 Issued in WV
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

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20191209000043 TX Practitioner - Podiatry 4082986112 Reassigns benefits to 2 organizations
I20240416001625 WV Practitioner - Podiatry 4082986112 Reassigns benefits to 1 organization
I20240423001191 VA Practitioner - Podiatry 4082986112 Reassigns benefits to 1 organization
I20250716000875 DC Practitioner - Podiatry 4082986112 Reassigns benefits to 1 organization

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
Foot and Ankle Clinic of the Virginias IncGroup PAC ID 7911948583, 12 clinicians

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 Hospital, Warrenton, VA, CCN 490023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of nail tissue410
Removal or shaving of skin growth117
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Jan 23, 2023 Accepting new patients
Foot and Ankle Clinic of the Virginias Inc Foot & Ankle Surgery CurrentSince Apr 1, 2024 Accepting new patients
Foot and Ankle Clinic of the Virginias Inc Foot & Ankle Surgery CurrentSince Apr 1, 2024 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Sep 25, 2019 Accepting new patients
Cherokee Nation CurrentSince Jan 23, 2023 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.