Individual provider Active NPI

Lukas R Kolm, M.D.

  • Emergency Medicine Physician
  • Dover, NH
National Provider Identifier
1548207558
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
11324 Issued in NH
Practice address
789 Central Ave
Wentworth Douglass Hospital
Dover, NH 03820-2526
Phone
(603) 498-9634
NPI assigned
May 31, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 210087 MA
Emergency Medicine Physician 207P00000X 11324 NH Primary

Addresses

Primary practice location

789 Central Ave
Wentworth Douglass Hospital
Dover, NH 03820-2526

Mailing address

276 Water St
Newburyport, MA 01950-3240
Phone (603) 498-9634

Other identifiers 4

IdentifierTypeStateIssuer
930108812OtherNHRAILROAD MCARE
01Y003235NH01OtherNHBCBS
30201580MedicaidNH
110003415AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA, ME3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20060210000241 NH Practitioner - Emergency Medicine 8022087097 Reassigns benefits to 2 organizations
I20070115000044 MA Practitioner - Emergency Medicine 8022087097 Reassigns benefits to 6 organizations
I20140618000187 ME Practitioner - Emergency Medicine 8022087097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

65 Calef Hwy
Lee, NH 03861-6703
Phone (603) 868-8507

701 Central Ave
Dover, NH 03820-3403
Phone (603) 609-6700

789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-5252

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Bluewater Emergency Partners of Brunswick, LLC Emergency Medicine CurrentSince Apr 6, 2025 Accepting new patients
Lahey Clinic, Inc CurrentSince Jul 3, 2017 Accepting new patients
Seacoast Emergency Physicians, PC CurrentSince Jul 11, 2001 Accepting new patients
Medical Associates of Ebnhc Current Accepting new patients
Neighborhealth Corporation CurrentSince Apr 20, 2020 Accepting new patients
Ocumed LLC Emergency Medicine CurrentSince Sep 2, 2024 Accepting new patients
Mainehealth CurrentSince Jul 1, 2014 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jul 3, 2017 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Apr 20, 2020 Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Mainehealth Current Accepting new patients
Seacoast Emergency Physicians PC Emergency Medicine CurrentSince Jul 11, 2001 Accepting new patients
Webber Hospital Association CurrentSince Jul 1, 2014 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
Mainehealth Current Accepting new patients
Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care Emergency Medicine Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

Interoperability endpoints

  • Direct secure messaging: lkolm28121@direct.neighborhealth.masshiway.net
  • Direct secure messaging: lkolm47359@direct.southcoast.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wentworth Douglass HospitalDover, NH, CCN 300018 Hospital Corporate Director Jan 1, 2023
Constellation Hospice, Constellation Health ServicesAugusta, ME, CCN 201522 Hospice Contracted Managing Employee (100%) Jan 1, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 3

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1548207558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 WATER ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503240",
            "telephone_number": "603-498-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "address_2": "WENTWORTH DOUGLASS HOSPITAL",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-498-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLM",
        "first_name": "LUKAS",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "210087",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "11324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE",
            "identifier": "930108812",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01Y003235NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201580",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110003415A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.