Individual provider Active NPI

Halina Elizabeth Luckiewicz, MD

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1497761399
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD066037L Issued in PA
Practice address
9104 Babcock Blvd
Suite 1113
Pittsburgh, PA 15237
Phone
(412) 366-7070
Fax
(412) 369-8355
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD066037L PA Primary

Addresses

Primary practice location

9104 Babcock Blvd
Suite 1113
Pittsburgh, PA 15237

Mailing address

9104 Babcock Blvd
Suite 1113
Pittsburgh, PA 15237
Phone (412) 366-7070

Other identifiers 1

IdentifierTypeStateIssuer
0018622710050005MedicaidPA

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
I20040831000213 PA Practitioner - Internal Medicine 2365417649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Douglas F Clough MD and Associates PCGroup PAC ID 1355316894, 4 clinicians

Practice addresses (Care Compare)

9401 McKnight Rd
Suite 106
Pittsburgh, PA 15237-6000
Phone (412) 366-7070

Hospital & facility affiliations

  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD066037LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas F Clough MD & Associates PC Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients
Concordia Physician Practice PastSince Jun 1, 2018 Accepting new patients
Fred K. Fioravanti Past Accepting new patients

Locations

9401 McKnight Rd
Ste 106
Pittsburgh, PA 15237
Phone (412) 366-7070

9104 Babcock Blvd
Ste 1113
Pittsburgh, PA 15237
Phone (412) 366-7070

Organizations & group practices 3

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 6

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1497761399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD",
            "address_2": "SUITE 1113",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15237",
            "telephone_number": "412-366-7070",
            "fax_number": "412-369-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD",
            "address_2": "SUITE 1113",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15237",
            "telephone_number": "412-366-7070",
            "fax_number": "412-369-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKIEWICZ",
        "first_name": "HALINA",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD066037L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018622710050005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.