Individual provider Active NPI

Rebecca Luking, DO

  • Family Medicine Physician
  • Frankfort, KY
National Provider Identifier
1790742815
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02873 Issued in KY
Practice address
4 HMB Cir
Frankfort, KY 40601-5376
Phone
(502) 695-7725
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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 02873 KY Primary

Addresses

Primary practice location

4 HMB Cir
Frankfort, KY 40601-5376

Mailing address

PO Box 4168
Frankfort, KY 40604-4168
Phone (502) 223-5811

Other identifiers 2

IdentifierTypeStateIssuer
P00882070OtherKYRAILROAD MEDICARE
64123508MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050829000301 KY Practitioner - Family Practice 2668403726 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02873KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2021 Accepting new patients

Locations

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

12903 Shelbyville Rd
Louisville, KY 40243
Phone (502) 244-5827

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1790742815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4168",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406044168",
            "telephone_number": "502-223-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HMB CIR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406015376",
            "telephone_number": "502-695-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKING",
        "first_name": "REBECCA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00882070",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64123508",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.