Luke Prudich, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

307439 Issued in NC

Practice address

2525 Court Dr
Gastonia, NC 28054-2140

Phone

(704) 834-2000

NPI assigned

Apr 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Emergency Medicine

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastonia Physician Services PLLCGroup PAC ID 3870719602, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

Merit-based Incentive Payment System (MIPS)

Final score

91.82 of 100Reported as group

Quality

84.07

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gastonia Physician Services, PLLC

  • Emergency Medicine Physician
  • Gastonia, NC
  • NPI 1316367691
  Medicare reassignment Care Compare group NPD
• Gastonia Physician Services, PLLC

  • Emergency Medicine Physician
  • Belmont, NC
  • NPI 1104644004
  NPD

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

• Gaston Memorial Hospital, Incorporated

  dba CaroMont Regional Medical Center

  • General Acute Care Hospital
  • Gastonia, NC
  • NPI 1013918960
  Care Compare affiliation

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1811516917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 GLENGARRIE LN",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542140",
            "telephone_number": "704-834-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 E Charlotte Ave",
            "address_purpose": "LOCATION",
            "city": "MT Holly",
            "state": "NC",
            "postal_code": "281202211",
            "country_code": "US",
            "telephone_number": "980-834-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUDICH",
        "first_name": "LUKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "307439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Procare Home Health
• Kimberly Prosise
• Prosperity GRP LLC
• Prosthetic Orthotic Care Center,Inc
• Elizabeth Marie Provost, MD
• Amy S Pruett, PHARMD
• Psy'Che' Royal Homecare Services
• Psychiatric Services of Carolinas, P.C.
• Publix North Carolina LP (Publix Pharmacy #1521)
• Pulmonary Clinic of the Carolina'S PC

• Emergency Medicine Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.

Verify at the official NPI Registry.