Active NPI
Jeremy D. Luckett, M.D.
- Internal Medicine Physician
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 44246
- Practice address
- 2851 New Hartford Rd Ste a
Owensboro, KY 42303 - Phone
- (270) 240-2305
- NPI assigned
- Jul 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 01073931A | IN | |
| Internal Medicine Physician | 207R00000X | 44246 | KY | Primary |
Addresses
Primary practice location
2851 New Hartford Rd Ste a
Owensboro, KY 42303
Mailing address
2851 New Hartford Rd Ste a
Owensboro, KY 42303-1320
Phone (270) 240-2305
Other practice location 1
1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 827-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100171880 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Kentucky College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Owensboro Health, IncPT Pros, Inc
Practice addresses (Care Compare)
1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845
1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 490-4570
201 S Main St
Leitchfield, KY 42754-1425
Phone (270) 230-1729
600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7299
Hospital & facility affiliations
- Caresouth HHA Holdings of Winchester, LLC Dba Enhabit Home Health
- Caretenders
- Family Home Health Care, LLC Dba Adoration Home Health
- Centerwell Home Health
- Hospice of Western Kentucky
- Hospice of Ohio County
- Deaconess Hospital Inc
- Ohio County Hospital
- Owensboro Health Regional Hospital
- Deaconess Henderson Hospital
- The Women'S Hospital
- Signature Healthcare of Hartford Rehab & Wellness
- Signature Healthcare at Hillcrest
- Wellington Parc of Owensboro
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44246 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic Inc | Current | Accepting new patients | |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Vineyard Primary Care PLLC | Internal Medicine | Current | Accepting new patients |
| Zipclinic, PSC | Current | Accepting new patients | |
| Deaconess Clinic, Inc | Internal Medicine | Current | Accepting new patients |
| Sebree Medical Group | Current | Accepting new patients | |
| Hospice & Palliative Care of the Ohio Valley, Inc | Current | Accepting new patients | |
| Deaconess Clinic Inc | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Wellington Parc Health Systems, Inc. | Past | Accepting new patients | |
| LP Owensboro II, LLC | Past | Accepting new patients | |
| Zipclinic Urgent Care | Past | Accepting new patients | |
| LP Hartford, LLC | Past | Accepting new patients |
Locations
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
2508 Scottsville Rd
Ste 104
Bowling Green, KY 42104
Phone (270) 746-6330
2005 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 360-0008
2000 N Elm St
Henderson, KY 42420
Phone (270) 827-3573
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
1305 N Elm St
Ste B
Henderson, KY 42420
Phone (270) 827-7193
1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031
3346 Professional Park
Owensboro, KY 42303
Phone (270) 683-1066
2851 New Hartford Rd
#A
Owensboro, KY 42303
Phone (270) 240-2305
3805 Fairview Dr
Owensboro, KY 42303
Phone (270) 240-2305
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
3419 Wathens Xing
Owensboro, KY 42301
Phone (270) 313-8426
7139 State Route 56 E
Sebree, KY 42455
Phone (270) 318-5088
Interoperability endpoints
- https://api.platform.athenahealth.com/19567/brand/1/csg/1/fhir/r4
- jluckett71654@direct.deaconess.com
Organizations & group practices 16
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.
-
- Community Based Hospice Care Agency
- Owensboro, KY
- NPI 1003892977
-
- Rural Health Clinic/Center
- Sebree, KY
- NPI 1902514904
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1164802542
-
- Pulmonary Disease Physician
- Owensboro, KY
- NPI 1841822327
-
- Hospitalist Physician
- Henderson, KY
- NPI 1679718100
-
- Gastroenterology Physician
- Henderson, KY
- NPI 1972165421
-
- Primary Care Clinic/Center
- Bowling Green, KY
- NPI 1861873507
-
- Pediatrics Physician
- Washington, IN
- NPI 1356132310
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
- Sleep Medicine (Internal Medicine) Physician
- Evansville, IN
- NPI 1497187397
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Owensboro, KY
- NPI 1902341399
-
- Home Health Agency
- Owensboro, KY
- NPI 1588848238
-
- Home Health Agency
- Owensboro, KY
- NPI 1194707711
-
- Home Health Agency
- Owensboro, KY
- NPI 1285604140
-
- Community Based Hospice Care Agency
- Owensboro, KY
- NPI 1003892977
-
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
-
- Community Based Hospice Care Agency
- Hartford, KY
- NPI 1255497574
-
- Critical Access Hospital
- Hartford, KY
- NPI 1629007430
-
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
-
- Skilled Nursing Facility
- Owensboro, KY
- NPI 1598763898
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1770748667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2851 NEW HARTFORD RD STE A",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031320",
"telephone_number": "270-240-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 NEW HARTFORD RD STE A",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "42303",
"telephone_number": "270-240-2305"
}
],
"practiceLocations": [
{
"address_1": "1305 N Elm St",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "KY",
"postal_code": "424202783",
"country_code": "US",
"telephone_number": "270-827-7700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCKETT",
"first_name": "JEREMY",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01073931A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "44246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100171880",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.