Active NPI
Stephanie Anne Masuck Lukas, M.D.
- Internal Medicine Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2019-02500
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497140925 | Medicaid | MT | |
| MED-RES-LIC-42282 | Other | MT | STATE OF MONTANA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42282 | MT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| American Current Care of North Carolina, P.C. | Current | Accepting new patients | |
| Millennium Physician Group of NC, PLLC | Internal Medicine | Current | Accepting new patients |
| Emergeortho PA | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Durham, NC
- NPI 1376592964
-
- Internal Medicine Physician
- Durham, NC
- NPI 1073832812
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1306015102
NC
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.