Individual provider Active NPI

Stephanie Anne Masuck Lukas, M.D.

  • Internal Medicine Physician
  • Durham, NC
National Provider Identifier
1497140925
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2019-02500 Issued in NC
Practice address
4205 Ben Franklin Blvd
Durham, NC 27704
Phone
(919) 477-6900
Fax
(919) 620-0974
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42282 MT
Internal Medicine Physician 207R00000X 2019-02500 NC Primary

Addresses

Primary practice location

4205 Ben Franklin Blvd
Durham, NC 27704

Mailing address

4205 Ben Franklin Blvd
Durham, NC 27704-2143
Phone (919) 477-6900

Other practice location 1

801 N 29th St
Billings, MT 59101-0905
Phone (406) 238-2210

Other practice location 2

801 N 29th St
Billings, MT 59101-0905
Phone (406) 238-2210

Other identifiers 2

IdentifierTypeStateIssuer
1497140925MedicaidMT
MED-RES-LIC-42282OtherMTSTATE OF MONTANA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address slukas757183@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191120000696 NC Practitioner - Internal Medicine 8921311697 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42282MTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince Nov 7, 2022 Accepting new patients
American Current Care of North Carolina, P.C. CurrentSince Sep 15, 2025 Accepting new patients
Millennium Physician Group of NC, PLLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Emergeortho PA CurrentSince Nov 7, 2022 Accepting new patients

Locations

4221 Tuckaseegee Rd
Charlotte, NC 28208
Phone (704) 392-4057

5107 Southpark Dr
Ste 104
Durham, NC 27713
Phone (919) 477-6900

4205 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 477-6900

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2523/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1497140925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042143",
            "telephone_number": "919-477-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-477-6900",
            "fax_number": "919-620-0974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 N 29th St",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591010905",
            "country_code": "US",
            "telephone_number": "406-238-2210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 N 29th St",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591010905",
            "country_code": "US",
            "telephone_number": "406-238-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKAS",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE MASUCK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2022-11-07",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "42282",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2019-02500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497140925",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MONTANA",
            "identifier": "MED-RES-LIC-42282",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slukas757183@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "801 N 29th St",
            "city": "Billings",
            "state": "MT",
            "country_code": "US",
            "postal_code": "591010905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.