Individual provider Active NPI

Sara Luczkiewicz, MD

  • Family Medicine Physician
  • Peterborough, NH
National Provider Identifier
1710549993
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22846 Issued in NH
Practice address
452 Old Street Rd
Peterborough, NH 03458-1295
Phone
(603) 588-4200
Fax
(603) 588-4089
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22846 NH Primary

Addresses

Primary practice location

452 Old Street Rd
Peterborough, NH 03458-1295

Mailing address

12 Elm St
Antrim, NH 03440-3916
Phone (603) 588-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20221128000650 NH Practitioner - Family Practice 5395070262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monadnock Community HospitalGroup PAC ID 7416933031, 67 clinicians

Practice addresses (Care Compare)

12 Elm St
Antrim Medical
Antrim, NH 03440-3916
Phone (603) 588-4200

452 Old St Rd
Peterborough, NH 03458-1263
Phone (603) 924-7191

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monadnock Community Hospital CurrentSince Oct 31, 2022 Accepting new patients
Monadnock Community Hospital Family Medicine CurrentSince Oct 31, 2022 Accepting new patients

Locations

12 Elm St
Antrim, NH 03440
Phone (603) 588-4200

82 Peterborough St
Jaffrey, NH 03452
Phone (603) 532-4200

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

Interoperability endpoints

  • Direct secure messaging: sara.luczkiewicz@mhp.eclinicaldirectplus.com
  • Direct secure messaging: sluczkiewicz136464@uihealth.direct-ci.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 3

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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1710549993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELM ST",
            "city": "ANTRIM",
            "state": "NH",
            "postal_code": "034403916",
            "telephone_number": "603-588-4200",
            "fax_number": "603-588-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD STREET RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581295",
            "telephone_number": "603-588-4200",
            "fax_number": "603-588-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCZKIEWICZ",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "22846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterborough, NH

Sources for this page

Verify at the official NPI Registry.