Individual provider Active NPI

Margarita Luckhardt, MD

  • Pediatrics Physician
  • Jackson, MS
National Provider Identifier
1679957781
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35434 Issued in MS
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(414) 352-3100
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 69485 WI
Pediatrics Physician 208000000X V1172 TX
Pediatrics Physician 208000000X 35434 MS Primary

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

196 Cobblestone Dr
Madison, MS 39110-9100

Other practice location 1

3533 S Alameda St Ste 100
Corpus Christi, TX 78411-1721
Phone (361) 694-5000

Other identifiers 1

IdentifierTypeStateIssuer
100080450MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20260512002005 MS Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2668717653

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35434MSMDPediatrics Physician
V1172TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nueces Emergency Medicine Associates PA CurrentSince Apr 23, 2024 Accepting new patients
Children'S Physician Services of South Texas Pediatrics CurrentSince Oct 1, 2024 Accepting new patients
Children'S Physician Services of South Texas CurrentSince Oct 1, 2024 Accepting new patients

Locations

3533 S Alameda St
Ste 100
Corpus Christi, TX 78411

3533 S Alameda St
Ste 203
Corpus Christi, TX 78411

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

2820 W Michaelangelo Dr
Edinburg, TX 78539
Phone (956) 342-0485

Interoperability endpoints

  • Direct secure messaging: mluckhardt243307@direct.myadvocateaurora.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1679957781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 COBBLESTONE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "414-352-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3533 S Alameda St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784111721",
            "country_code": "US",
            "telephone_number": "361-694-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCKHARDT",
        "first_name": "MARGARITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "69485",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V1172",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "35434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080450",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.