Active NPI
John D Luck, M.D
- Surgery Physician
- Randallstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D90135
- Practice address
- 5401 Old Court Rd Dept of
Randallstown, MD 21133-5103 - Phone
- (410) 521-2200
- Fax
- (410) 496-7530
- NPI assigned
- Dec 22, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 77877 | MN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | D90135 | MD | Primary |
Addresses
Primary practice location
5401 Old Court Rd Dept of
Randallstown, MD 21133-5103
Mailing address
303 E Nicollet Blvd
Suite 330
Burnsville, MN 55337
Phone (952) 435-0177
Other practice location 1
600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-5000
Other names 1
- J.D. Luck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77877 | MN | MD | Plastic Surgery Physician |
| D90135 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Paul Place Specialists, Inc. | Current | Accepting new patients | |
| Northwest Hospital Center, Inc. | Current | Accepting new patients | |
| St Paul Place Specialists Inc | Current | Accepting new patients | |
| St. Paul Place Specialists, Inc. | Current | Accepting new patients | |
| Northwest Hospital Center, Inc | Plastic Surgery | Current | Accepting new patients |
| Gryskiewicz Twin Cities Cosmetic Surgery | Past | Accepting new patients |
Locations
301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
Organizations & group practices 6
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.
-
dba NW Breast Care Ctr,Hospitalist,PA, SHS Plastics,Surgical House Staff
- Hospitalist Physician
- Randallstown, MD
- NPI 1508961988
Plastic Surgery
-
- Orthopaedic Foot and Ankle Surgery Physician
- Baltimore, MD
- NPI 1871549196
-
dba Chronic Disease Clinic
- Acute Care Nurse Practitioner
- Randallstown, MD
- NPI 1235669599
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1497707681
-
- Orthopaedic Surgery Physician
- Baltimore, MD
- NPI 1831471234
-
- Plastic and Reconstructive Surgery Physician
- Burnsville, MN
- NPI 1740462324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1619332475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E NICOLLET BLVD",
"address_2": "SUITE 330",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "55337",
"telephone_number": "952-435-0177",
"fax_number": "952-435-6287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 OLD COURT RD DEPT OF",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211335103",
"telephone_number": "410-521-2200",
"fax_number": "410-496-7530"
}
],
"practiceLocations": [
{
"address_1": "600 N Wolfe St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212870005",
"country_code": "US",
"telephone_number": "410-955-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCK",
"first_name": "JOHN",
"middle_name": "D",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-22",
"last_updated": "2025-08-05",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MN",
"license": "77877",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D90135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "J.D.",
"last_name": "LUCK",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.