Individual provider Active NPI

Zbigniew A Lukawski, MD

  • Internal Medicine Physician
  • Cortland, NY
National Provider Identifier
1659425197
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
196743 Issued in NY
Practice address
4038 West Rd
Cortland, NY 13045-1149
Phone
(607) 758-3008
NPI assigned
Jan 22, 2007
Last updated
Apr 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 196743 NY Primary

Addresses

Primary practice location

4038 West Rd
Cortland, NY 13045-1149

Mailing address

85 S West St
Homer, NY 13077-1542
Phone (607) 753-3797

Other practice location 1

2805 Cincinnatus Rd
Cincinnatus, NY 13040-1304
Phone (607) 863-4126

Other practice location 2

23 Central St
Moravia, NY 13118-7709
Phone (315) 497-9066

Other identifiers 1

IdentifierTypeStateIssuer
01521200MedicaidNY

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Homer Health Information Exchange (HIE)
CONNECT URL Homer Health Information Exchange (HIE)
CONNECT URL Homer Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100303000120 NY Practitioner - Internal Medicine 1254476112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4038 W Rd
Cortland, NY 13045-1842
Phone (607) 758-3008

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196743NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Network of Central New York, Inc. CurrentSince Mar 11, 2022 Accepting new patients
Family Health Network of Central New York, Inc. CurrentSince Mar 11, 2022 Accepting new patients

Locations

4038 West Rd
Cortland, NY 13045
Phone (607) 758-3008

85 S West St
Homer, NY 13077
Phone (607) 753-3797

Interoperability endpoints

  • Direct secure messaging: zbigniew.lukawski.1@28343.direct.athenahealth.com

Organizations & group practices 2

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 5

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1659425197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S WEST ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771542",
            "telephone_number": "607-753-3797",
            "fax_number": "607-753-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 WEST RD",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451149",
            "telephone_number": "607-758-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 Cincinnatus Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnatus",
            "state": "NY",
            "postal_code": "130401304",
            "country_code": "US",
            "telephone_number": "607-863-4126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Central St",
            "address_purpose": "LOCATION",
            "city": "Moravia",
            "state": "NY",
            "postal_code": "131187709",
            "country_code": "US",
            "telephone_number": "315-497-9066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKAWSKI",
        "first_name": "ZBIGNIEW",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01521200",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2805 Cincinnatus Rd",
            "city": "Cincinnatus",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130401304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "23 Central St",
            "city": "Moravia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "131187709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4038 West Rd",
            "city": "Cortland",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130451149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.