Active NPI
Lukasz Robert Kiljanek, M.D.
- Nephrology Physician
- Gillette, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- TL8345
- Practice address
- 469 Highway 50
Gillette, WY 82718-9330 - Phone
- (307) 387-9850
- Fax
- (307) 387-9890
- NPI assigned
- Aug 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Gillette, WY
- NPI 1376280750
Internal Medicine, WY
-
- Internal Medicine Physician
- Hollywood, MD
- NPI 1831592211
DC
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Gillette, WY
- NPI 1003628611
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1730571118
-
- Clinical Pathology Physician
- Fort Washington, MD
- NPI 1811794845
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Gillette, WY
- NPI 1780738153
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hoskinson Health and Wellness Clinic LLC
Practice addresses (Care Compare)
469 Hwy 50
Gillette, WY 82718-9330
Phone (307) 387-9850
Hospital & facility affiliations
- Campbell County Health
- Weston County Health Services
- Johnson County Healthcare Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.41 of 100
- Quality
- 61.45
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 79.91
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 3
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150716000089 | MD | Practitioner - Internal Medicine | 1658595178 | |
| I20180514000736 | DC | Practitioner - Internal Medicine | 1658595178 | Reassigns benefits to 1 organization |
| I20240925002255 | WY | Practitioner - Nephrology | 1658595178 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT192189 | PA | MD | Internal Medicine Physician |
| D79829 | MD | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoskinson Health & Wellness Clinic LLC | Current | Accepting new patients | |
| NPI 1346023066 | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Hoskinson Health & Wellness Clinic LLC | Internal Medicine | Current | Accepting new patients |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients |
Locations
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
469 Wyoming Highway 50
Gillette, WY 82718
Phone (307) 387-9850
201 W Lakeway Rd
Ste 1004
Gillette, WY 82718
Phone (307) 387-9850
Interoperability endpoints
- https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4
- lukasz.kiljanekmd.p2@direct.msmg.nextgenshare.com
- lukasz.kiljanek.1@26742.direct.athenahealth.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT192189 | PA | |
| Nephrology Physician | 207RN0300X | D79829 | MD | |
| Nephrology Physician | 207RN0300X | TL8345 | WY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
469 Highway 50
Gillette, WY 82718-9330
Mailing address
201 W Lakeway Rd Ste 1004
Gillette, WY 82718-6349
Phone (307) 387-9850
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 852107700 | Medicaid | MD |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2024.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1770739641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W LAKEWAY RD STE 1004",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827186349",
"telephone_number": "307-387-9850",
"fax_number": "307-987-9890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 HIGHWAY 50",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827189330",
"telephone_number": "307-387-9850",
"fax_number": "307-387-9890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILJANEK",
"first_name": "LUKASZ",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-12",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT192189",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MD",
"license": "D79829",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WY",
"license": "TL8345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "852107700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.