Active NPI
Karl J Luketic, M.D.
- Ophthalmology Physician
- Toledo, OH
National Provider Identifier
1669477998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35064065
- Practice address
- 3915 Sunforest CT
Toledo, OH 43623-4453 - Phone
- (419) 450-3337
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35064065 | OH | Primary |
Addresses
Primary practice location
3915 Sunforest CT
Toledo, OH 43623-4453
Mailing address
3118 Stonegate Dr
Maumee, OH 43537-9423
Phone (419) 450-3337
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03297 | Other | PARAMOUNT | |
| 000000127263 | Other | ANTHEM | |
| 1451754 | Other | UNITED HEALTHCARE | |
| 0161435 | Medicaid | OH | |
| 180035529 | Other | OH | RAILROAD MEDICARE |
| 0005908039 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Ophthalmology
- Education
- Northeastern Ohio University College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3915 Sunforest Court
Toledo, OH 43623-4453
Phone (419) 475-9251
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.34 of 100
- Quality
- 76.59
- Improvement activities
- 40
- Cost
- 85.68
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 79 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35064065 | OH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luketic Eye Center, LLC | Ophthalmology | Current | Accepting new patients |
| Associated Eye Care Inc | Ophthalmology | Past | Accepting new patients |
Locations
3915 Sunforest Ct
Toledo, OH 43623
Phone (419) 475-9251
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Toledo, OH
- NPI 1538425061
-
- Ophthalmology Physician
- Toledo, OH
- NPI 1720155534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1669477998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3118 STONEGATE DR",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435379423",
"telephone_number": "419-450-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 SUNFOREST CT",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234453",
"telephone_number": "419-450-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKETIC",
"first_name": "KARL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35064065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "03297",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000127263",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1451754",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0161435",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180035529",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005908039",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.