Active NPI
Lukasz A Rostocki, MD
- Obstetrics & Gynecology Physician
- Summersville, WV
National Provider Identifier
1699758763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A 053274
- Practice address
- 400 Fairview Heights Rd
Suite 201
Summersville, WV 26651-9308 - Phone
- (304) 872-5381
- Fax
- (304) 872-3989
- NPI assigned
- Nov 22, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A 053274 | CA | Primary |
Addresses
Primary practice location
400 Fairview Heights Rd
Suite 201
Summersville, WV 26651-9308
Mailing address
400 Fairview Heights Rd
Suite 201
Summersville, WV 26651-9308
Phone (304) 872-5381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A 053274 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia Health Care Cooperative Inc | Past | Accepting new patients |
Interoperability endpoints
- lrostocki@yourcarecommunity.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SRMC Medical Group
- Hospitalist Physician
- Summersville, WV
- NPI 1417415324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1699758763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 FAIRVIEW HEIGHTS RD",
"address_2": "SUITE 201",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266519308",
"telephone_number": "304-872-5381",
"fax_number": "304-872-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FAIRVIEW HEIGHTS RD",
"address_2": "SUITE 201",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266519308",
"telephone_number": "304-872-5381",
"fax_number": "304-872-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSTOCKI",
"first_name": "LUKASZ",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A 053274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.