Individual provider Active NPI

Curt Laukhuf

  • Registered Nurse
  • Columbia City, IN
National Provider Identifier
1558935403
Registry record updated May 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28200509A Issued in IN
Practice address
1260 E State Road 205
Columbia City, IN 46725-9492
Phone
(765) 635-4709
NPI assigned
May 16, 2021
Last updated
May 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28200509A IN Primary

Addresses

Primary practice location

1260 E State Road 205
Columbia City, IN 46725-9492

Mailing address

7570 S 850 W
South Whitley, IN 46787-9731
Phone (765) 635-4709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210907001354 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365848926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians

Practice addresses (Care Compare)

1260 E State Rd
Suite 205
Columbia City, IN 46725-9492
Phone (260) 248-9301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28200509AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Colleagues LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

1721 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 250-0001

9 Northeastern Blvd
Ste 400
Salem, NH 03079

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1621123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621123200000",
    "number": "1558935403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 S 850 W",
            "city": "SOUTH WHITLEY",
            "state": "IN",
            "postal_code": "467879731",
            "telephone_number": "765-635-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E STATE ROAD 205",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467259492",
            "telephone_number": "765-635-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUKHUF",
        "first_name": "CURT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-16",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28200509A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.