Individual provider Active NPI

Luke Thomas Dillon, PA

  • Surgical Physician Assistant
  • Auburn Hills, MI
National Provider Identifier
1669707170
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
560100818 Issued in MI
Practice address
3100 Cross Creek Pkwy Ste 200
Auburn Hills, MI 48326-2776
Phone
(248) 377-8000
Fax
(248) 484-2129
NPI assigned
Oct 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 560100818 MI Primary

Addresses

Primary practice location

3100 Cross Creek Pkwy Ste 200
Auburn Hills, MI 48326-2776

Mailing address

3100 Cross Creek Pkwy Ste 200
Auburn Hills, MI 48326-2776
Phone (248) 377-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Athena

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211000427 MI Practitioner - Physician Assistant 2163565136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Knee and Sports Medicine PCGroup PAC ID 1355387564, 31 clinicians

Practice addresses (Care Compare)

3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2776
Phone (248) 377-8000

Hospital & facility affiliations

  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254

Merit-based Incentive Payment System (MIPS)

Final score
78.53 of 100Reported as group
Quality
60.91
Promoting interoperability
98
Improvement activities
40
Cost
69.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
560100818MIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Knee & Sports Medicine PC CurrentSince Jan 1, 2019 Accepting new patients
Rochester Knee & Sports Medicine, PC Physician Assistant CurrentSince Jan 1, 2019 Accepting new patients

Locations

3100 Cross Creek Pkwy
Ste 200
Auburn Hills, MI 48326
Phone (248) 377-8000

3100 Cross Creek Pkwy
Ste 160
Auburn Hills, MI 48326
Phone (248) 364-4064

Interoperability endpoints

  • Direct secure messaging: ldillon1125263@direct.hfhs.org
  • Direct secure messaging: luke.dillon.1@16694.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 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": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1669707170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY STE 200",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262776",
            "telephone_number": "248-377-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY STE 200",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262776",
            "telephone_number": "248-377-8000",
            "fax_number": "248-484-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "LUKE",
        "middle_name": "THOMAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-16",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "560100818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "address_1": "3100 Cross Creek Pkwy Ste 200",
            "city": "Auburn Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483262776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

Verify at the official NPI Registry.