Individual provider Active NPI

Luke C Jeffries, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ansonia, CT
National Provider Identifier
1639360381
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1836 Issued in TX
Practice address
364 E Main St
Ansonia, CT 06401-1904
Phone
(203) 734-4806
Fax
(203) 734-8265
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1836 TX Primary

Addresses

Primary practice location

364 E Main St
Ansonia, CT 06401-1904

Mailing address

364 E Main St
Ansonia, CT 06401-1904
Phone (203) 734-4806

Other identifiers 1

IdentifierTypeStateIssuer
1639360384OtherNHANTHEM BLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111108000568 CT Practitioner - Podiatry 8921196411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ansonia Podiatry Associates, LLCGroup PAC ID 1850466160, 2 clinicians

Practice addresses (Care Compare)

364 E Main St
Ansonia, CT 06401-1904
Phone (203) 734-4806

Hospital & facility affiliations

  • Griffin Hospital Hospital, Derby, CT, CCN 070031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue73
Removal of skin lesions1-10
Removal of nail tissue164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0327NHMDAddiction (Substance Use Disorder) Counselor
880CTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ansonia Podiatry Associates, LLC Foot & Ankle Surgery CurrentSince Oct 4, 2011 Accepting new patients
Granite State Podiatry Associates PA Foot & Ankle Surgery Past Accepting new patients
Granite State Podiatry Associates PA Foot & Ankle Surgery PastSince Nov 14, 2011 Accepting new patients
Yale Podiatry Group PC Foot & Ankle Surgery PastSince Oct 4, 2011 Accepting new patients

Locations

364 E Main St
Ansonia, CT 06401
Phone (203) 734-4806

4 Corporate Dr
Ste 384
Shelton, CT 06484
Phone (203) 734-4806

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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 1

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1639360381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 E MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011904",
            "telephone_number": "203-734-4806",
            "fax_number": "203-734-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 E MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011904",
            "telephone_number": "203-734-4806",
            "fax_number": "203-734-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "LUKE",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "1639360384",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

Verify at the official NPI Registry.