Individual provider Active NPI

Lukasz Robert Kiljanek, M.D.

  • Nephrology Physician
  • Gillette, WY
National Provider Identifier
1770739641
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
TL8345 Issued in WY
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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 54 clinicians

Practice addresses (Care Compare)

469 Hwy 50
Gillette, WY 82718-9330
Phone (307) 387-9850

Hospital & facility affiliations

  • Campbell County Health Hospital, Gillette, WY, CCN 530002
  • Weston County Health Services Hospital, Newcastle, WY, CCN 531303
  • Johnson County Healthcare Center Hospital, Buffalo, WY, CCN 531308

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
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, WY3 enrollments
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.

Medicare enrollment records 3

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MT192189PAMDInternal Medicine Physician
D79829MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoskinson Health & Wellness Clinic LLC CurrentSince Sep 11, 2024 Accepting new patients
NPI 1346023066 CurrentSince Sep 11, 2024 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 CurrentSince Jul 1, 2018 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

  • FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lukasz.kiljanekmd.p2@direct.msmg.nextgenshare.com
  • Direct secure messaging: lukasz.kiljanek.1@26742.direct.athenahealth.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT192189 PA
Nephrology Physician 207RN0300X D79829 MD
Nephrology Physician 207RN0300X TL8345 WY Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
852107700MedicaidMD

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

Verify at the official NPI Registry.