Individual provider Active NPI

Alice M Luknic, MD

  • Medical Oncology Physician
  • Newport, OR
National Provider Identifier
1598798191
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
CP203734 Issued in OR
Practice address
930 SW Abbey St
Newport, OR 97365-4820
Phone
(833) 222-5600
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 66448 MN
Hematology & Oncology Physician 207RH0003X 33084 CO
Medical Oncology Physician 207RX0202X 66448 MN
Medical Oncology Physician 207RX0202X CP203734 OR Primary

Addresses

Primary practice location

930 SW Abbey St
Newport, OR 97365-4820

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

1825 Marion St
Denver, CO 80218-1122
Phone (303) 318-3434

Other practice location 2

1825 Marion St
Denver, CO 80218-1122
Phone (303) 318-3434

Other practice location 3

200 State Ave
Faribault, MN 55021
Phone (507) 334-6451

Other practice location 4

501 NW Elks Dr Ste 100
Corvallis, OR 97330-3757
Phone (541) 768-4950

Other identifiers 1

IdentifierTypeStateIssuer
01330844MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alukniccontractstaff261179@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240201000270 TX Practitioner - Medical Oncology 6406851104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
88.09
Promoting interoperability
100
Improvement activities
40
Cost
84.48

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.56 of 100Reported as group
Quality
74.25
Promoting interoperability
100
Improvement activities
40
Cost
76.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33084COMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Allina Health System Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Dec 24, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Medical Oncology CurrentSince Dec 24, 2023 Accepting new patients
Saint Joseph Hospital, Inc Past Accepting new patients
Good Samaritan Hospital Corvallis PastSince Mar 1, 2021 Accepting new patients
Hesky Fisher Luknic Mdspc Medical Oncology Past Accepting new patients

Locations

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

Interoperability endpoints

  • Direct secure messaging: alukniccontractstaff261179@samhealth.direct-ci.com

Organizations & group practices 8

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1598798191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SW ABBEY ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654820",
            "telephone_number": "833-222-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Marion St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181122",
            "country_code": "US",
            "telephone_number": "303-318-3434",
            "fax_number": "303-318-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Marion St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181122",
            "country_code": "US",
            "telephone_number": "303-318-3434",
            "fax_number": "303-318-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 State Ave",
            "address_purpose": "LOCATION",
            "city": "Faribault",
            "state": "MN",
            "postal_code": "55021",
            "country_code": "US",
            "telephone_number": "507-334-6451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 NW Elks Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303757",
            "country_code": "US",
            "telephone_number": "541-768-4950",
            "fax_number": "541-768-9377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKNIC",
        "first_name": "ALICE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "MN",
            "license": "66448",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "33084",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MN",
            "license": "66448",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OR",
            "license": "CP203734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01330844",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alukniccontractstaff261179@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.