Active NPI
Timothy L Lukas, M.D.
- Orthopaedic Surgery Physician
- Port Huron, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- TL066226
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4206774 | Medicaid | MI |
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
Enrollment records 1
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
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
- Vna Home Health Care
- McLaren Port Huron
- Lake Huron Medical Center
- Ascension River District Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| TL066226 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Medical Group | Current | Accepting new patients | |
| McLaren Port Huron | Current | Accepting new patients | |
| McLaren Port Huron | Current | Accepting new patients | |
| McLaren Medical Group | Current | Accepting new patients | |
| Timothy L. Lukas,MD.,PC | Orthopaedic Surgery | Past | Accepting new patients |
| Advanced Physical Rehabilitation Karadimas PLLC | Orthopaedic Surgery | Past | Accepting new patients |
| Advanced Physical Rehabilitation Lukas PLLC | Orthopaedic Surgery | Past | 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.
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Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East China, MI
- NPI 1619941333
-
- Home Health Agency
- Clinton TWP, MI
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-
- General Acute Care Hospital
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-
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- NPI 1306227764
-
- Home Health Agency
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- NPI 1083601066
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.