Individual provider Active NPI

Alexis J Lukach, MD

  • Dermatology Physician
  • Yardley, PA
National Provider Identifier
1497249387
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD476723 Issued in PA
Practice address
903 Floral Vale Blvd
Yardley, PA 19067-5515
Phone
(215) 579-6155
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 MT216555 PA
Dermatology Physician 207N00000X MD476723 PA Primary

Addresses

Primary practice location

903 Floral Vale Blvd
Yardley, PA 19067-5515

Mailing address

903 Floral Vale Blvd
Yardley, PA 19067-5515
Phone (215) 579-6155

Other practice location 1

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-2191

Other practice location 2

803 Floral Vale Blvd
Yardley, PA 19067-5513
Phone (215) 579-6155

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yardleydermatologyassociates@direct.hsxsepa.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220721002531 PA Practitioner - Dermatology 7810244852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Pittsburgh School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yardley Dermatology Associates, P.C.Group PAC ID 6103003942, 15 clinicians

Practice addresses (Care Compare)

903 Floral Vale Blvd
Yardley, PA 19067-5515
Phone (215) 579-6155

Merit-based Incentive Payment System (MIPS)

Final score
91.39 of 100Reported as individual
Quality
82.78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision130
Removal of skin lesions965
Removal or shaving of skin growth405
Skin biopsy205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT216555PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yardley Dermatology Associates, P.C. Dermatology CurrentSince Jul 1, 2022 Accepting new patients
Yardley Dermatology Associates Dermatology Current Accepting new patients

Locations

903 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 579-6155

903 Floral Vale Blvd
Ste 903
Yardley, PA 19067

803 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 579-6155

805 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 968-4901

908 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 579-6155

Interoperability endpoints

  • Direct secure messaging: yardleydermatologyassociates@direct.hsxsepa.org

Organizations & group practices 2

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1497249387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675515",
            "telephone_number": "215-579-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675515",
            "telephone_number": "215-579-6155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "PA",
            "postal_code": "190013720",
            "country_code": "US",
            "telephone_number": "215-481-2191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 Floral Vale Blvd",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190675513",
            "country_code": "US",
            "telephone_number": "215-579-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKACH",
        "first_name": "ALEXIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT216555",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD476723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yardleydermatologyassociates@direct.hsxsepa.org",
            "affiliation": "N",
            "endpointDescription": "yda direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "903 Floral Vale Blvd",
            "city": "Yardley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190675515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.