Active NPI
Luke McCrone, MD
- Gastroenterology Physician
- Petoskey, MI
National Provider Identifier
1831457779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301114164
- Practice address
- 560 W Mitchell St Ste M40
Petoskey, MI 49770 - Phone
- (231) 487-2391
- Fax
- (231) 487-6513
- NPI assigned
- Apr 29, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 4301114164 | MI | Primary |
Addresses
Primary practice location
560 W Mitchell St Ste M40
Petoskey, MI 49770
Mailing address
560 W Mitchell St Ste M40
Petoskey, MI 49770-2278
Phone (231) 487-2391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831457779 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180703002547 | MI | Practitioner - Gastroenterology | 4981841657 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
560 W Mitchell St
Suite M40
Petoskey, MI 49770-2278
Phone (231) 487-3637
Hospital & facility affiliations
- McLaren Northern Michigan
- Munson Healthcare Otsego Memorial Hospital
- Mymichigan Medical Center Alpena
- Mackinac Straits Hospital and Health Center
- Munson Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 167 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 282 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Past | Accepting new patients |
Locations
740 S Main St
Cheboygan, MI 49721
Phone (231) 627-4361
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
560 W Mitchell St
Ste M40
Petoskey, MI 49770
Phone (231) 487-2391
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Mount Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1538195409
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Saint Ignace, MI
- NPI 1124283502
Hospital
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
Hospital
-
- Rural Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1619791431
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1831457779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST STE M40",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702278",
"telephone_number": "231-487-2391",
"fax_number": "231-487-6513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST STE M40",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "49770",
"telephone_number": "231-487-2391",
"fax_number": "231-487-6513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRONE",
"first_name": "LUKE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-29",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301114164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831457779",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.