Individual provider Active NPI

Jeremy D. Luckett, M.D.

  • Internal Medicine Physician
  • Owensboro, KY
National Provider Identifier
1770748667
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44246 Issued in KY
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

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100171880MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110809000323 KY Practitioner - Internal Medicine 4284803297 Reassigns benefits to 6 organizations
I20190122003062 IN Practitioner - Hospitalist 4284803297 Reassigns benefits to 1 organization

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, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

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 Home health agency, Owensboro, KY, CCN 187087
  • Caretenders Home health agency, Owensboro, KY, CCN 187178
  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Owensboro, KY, CCN 187168
  • Centerwell Home Health Home health agency, Henderson, KY, CCN 187110
  • Hospice of Western Kentucky Hospice, Owensboro, KY, CCN 181520
  • Hospice of Ohio County Hospice, Hartford, KY, CCN 181518
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Ohio County Hospital Hospital, Hartford, KY, CCN 181323
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
  • The Women'S Hospital Hospital, Newburgh, IN, CCN 150149
  • Signature Healthcare of Hartford Rehab & Wellness Nursing home, Hartford, KY, CCN 185275
  • Signature Healthcare at Hillcrest Nursing home, Owensboro, KY, CCN 185120
  • Wellington Parc of Owensboro Nursing home, Owensboro, KY, CCN 185436

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44246KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc CurrentSince Apr 1, 2024 Accepting new patients
Deaconess Hospital Inc CurrentSince Feb 1, 2019 Accepting new patients
Deaconess Hospital, Inc Internal Medicine CurrentSince Dec 26, 2024 Accepting new patients
Vineyard Primary Care PLLC Internal Medicine CurrentSince Jun 12, 2015 Accepting new patients
Zipclinic, PSC CurrentSince Mar 22, 2022 Accepting new patients
Deaconess Clinic, Inc Internal Medicine Current Accepting new patients
Sebree Medical Group CurrentSince Oct 1, 2023 Accepting new patients
Hospice & Palliative Care of the Ohio Valley, Inc CurrentSince Jul 28, 2017 Accepting new patients
Deaconess Clinic Inc CurrentSince Apr 1, 2024 Accepting new patients
Deaconess Hospital, Inc Internal Medicine CurrentSince Feb 1, 2019 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

  • FHIR API: https://api.platform.athenahealth.com/19567/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 15

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

View all 15

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

Verify at the official NPI Registry.