Nicholas Daniel Lukert, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME148735 Issued in FL

Practice address

77 US Highway 27 N
Lake Placid, FL 33852-9571

Phone

(863) 699-5437

Fax

(863) 699-9000

NPI assigned

May 24, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1578640181
  NPD (past)
• Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1881260289
  NPD (past)

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1700377835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "954-967-6400",
            "fax_number": "954-337-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 US HIGHWAY 27 N",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338529571",
            "telephone_number": "863-699-5437",
            "fax_number": "863-699-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKERT",
        "first_name": "NICHOLAS",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2024-03-15",
        "certification_date": "2022-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME148735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Leahy-Smith, CNA
• Steve Leddick
• Legacy Healthcare Services Inc
• Nicole Rae Lorden, APRN, FNP-C
• Ron Lubin
• Tara Kathryn Lundmark, MA
• Aleksandra Lutovsky, SLP
• Mabel Marin
• Shannon Markland, LAC.
• Charlene Marsh, PTA

• Pediatrics Physician in Lake Placid, FL
• Providers in Lake Placid, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.