Individual provider Active NPI

Timothy L Lukas, M.D.

  • Orthopaedic Surgery Physician
  • Port Huron, MI
National Provider Identifier
1669436184
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
TL066226 Issued in MI
Practice address
1231 Pine Grove Ave
Suite 1a
Port Huron, MI 48060-3500
Phone
(810) 985-4300
Fax
(810) 985-9320
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X TL066226 MI Primary

Addresses

Primary practice location

1231 Pine Grove Ave
Suite 1a
Port Huron, MI 48060-3500

Mailing address

1231 Pine Grove Ave
Suite 1a
Port Huron, MI 48060-3500
Phone (810) 985-4300

Other identifiers 1

IdentifierTypeStateIssuer
4206774MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060302000393 MI Practitioner - Orthopedic Surgery 1658359658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at Houston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Port HuronGroup PAC ID 9931018702, 48 clinicians

Practice addresses (Care Compare)

1163 S Carney Dr
Saint Clair, MI 48079-5569
Phone (810) 561-8450

1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 985-2663

1231 Pine Grove Ave
Port Huron, MI 48060-3500

Hospital & facility affiliations

  • McLaren Home Health Home health agency, Clinton Township, MI, CCN 237172
  • Vna Home Health Care Home health agency, Port Huron, MI, CCN 237059
  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
  • Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031
  • Ascension River District Hospital Hospital, East China, MI, CCN 230241

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TL066226MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Aug 1, 2023 Accepting new patients
McLaren Port Huron CurrentSince Oct 1, 2017 Accepting new patients
McLaren Port Huron Current Accepting new patients
McLaren Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Timothy L. Lukas,MD.,PC Orthopaedic Surgery PastSince Jun 6, 2000 Accepting new patients
Advanced Physical Rehabilitation Karadimas PLLC Orthopaedic Surgery Past Accepting new patients
Advanced Physical Rehabilitation Lukas PLLC Orthopaedic Surgery PastSince Feb 1, 2006 Accepting new patients

Locations

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1231 Pine Grove Ave
Ste 1A
Port Huron, MI 48060
Phone (810) 985-4300

1163 S Carney Dr
Saint Clair, MI 48079
Phone (810) 561-8450

Organizations & group practices 7

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 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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1669436184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 PINE GROVE AVE",
            "address_2": "SUITE 1A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603500",
            "telephone_number": "810-985-4300",
            "fax_number": "810-985-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 PINE GROVE AVE",
            "address_2": "SUITE 1A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603500",
            "telephone_number": "810-985-4300",
            "fax_number": "810-985-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKAS",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "TL066226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4206774",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.