Luke Dolezal, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD.37028 Issued in AL

Practice address

5851 Duluth St Ste 215
Golden Valley, MN 55422-3956

Phone

(763) 546-8422

Fax

(763) 546-0209

NPI assigned

Apr 17, 2014

Last updated

Jul 15, 2019By the provider in NPPES

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 AL, MN2 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

Ophthalmology

Education

University of Minnesota Medical School, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Metro Ophthalmology PAGroup PAC ID 8729067848, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Buffalo Hospital Hospital, Buffalo, MN, CCN 240076

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: ldolezal461624@direct.centracare.com

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.

• West Metro Ophthalmology, PA

  • Ophthalmology Physician
  • Monticello, MN
  • NPI 1760523518
  Medicare reassignment Care Compare group NPD
• Uab Callahan Eye Hospital Authority

  dba Anesthesia at Callahan Eye Hospital

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
  • NPI 1023358850
  Medicare reassignment NPD
• University of Alabama Ophthalmology Services Foundation

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1265485999
  Medicare reassignment NPD
• West Metro Ophthalmology

  • Ophthalmology Physician
  • Golden Valley, MN
  • NPI 1316002801
  NPD
• West Metro Ophthalmology, PA

  • Ophthalmology Physician
  • Buffalo, MN
  • NPI 1952442790
  NPD
• Uab Callahan Eye Hospital Authority

  dba Callahan Eye Hospital

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1427398254
  NPD

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

• Allina Health System

  dba Buffalo Hospital

  • General Acute Care Hospital
  • Buffalo, MN
  • NPI 1538123567
  Care Compare affiliation

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1467872390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 DULUTH ST STE 215",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223956",
            "telephone_number": "763-546-8422",
            "fax_number": "763-546-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 DULUTH ST STE 215",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223956",
            "telephone_number": "763-546-8422",
            "fax_number": "763-546-0209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Park Ave",
            "address_2": "Hennepin County Medical Center, Transitional Program",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554151623",
            "country_code": "US",
            "telephone_number": "612-873-3922",
            "fax_number": "612-873-1981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 University Blvd.",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331895",
            "country_code": "US",
            "telephone_number": "205-325-8523",
            "fax_number": "205-325-8592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLEZAL",
        "first_name": "LUKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD.37028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Distinctive Eyewear, LLC (Northwest Eyewear)
• Distinctive Eyewear, LLC (Northwest Eyewear)
• Diversity Wellness Center LLC
• DMD Enterprises LLC
• Dodson Directive, P.a.
• Xiaoming Dong, M.D.
• Jean E Donnelly-Hicks, MA CCC SLP
• Robert Joseph Donnelly, M.S.W.
• Heather Jean Dopkins
• Dose Health LLC (Dose Health)

• Ophthalmology Physician in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.