Active NPI
Pavlo Lukyanchykov, M.D.
- Internal Medicine Physician
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME136126
- Practice address
- 2100 SE Salerno Rd
Stuart, FL 34997-6503 - Phone
- (772) 223-2300
- NPI assigned
- Jun 30, 2015
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME136126 | FL | Primary |
Addresses
Primary practice location
2100 SE Salerno Rd
Stuart, FL 34997-6503
Mailing address
2100 SE Salerno Rd
Stuart, FL 34997-6503
Phone (722) 223-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 355-4400
2100 SE Salerno Rd
Stuart, FL 34997-6503
Phone (772) 223-2300
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 771-8000
655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-3850
Hospital & facility affiliations
- Trust USA Home Health LLC
- Community Home Health Services
- All Services Home Health Agency Inc
- Holy Cross Hospital
- Cleveland Clinic Martin North Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Jacksonville, LLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Jacksonville, LLC | Internal Medicine | Current | Accepting new patients |
| Florida Hospital Medicine Services, LLC. | Current | Accepting new patients | |
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Sound Physicians of Florida VI LLC | Internal Medicine | Current | Accepting new patients |
Locations
9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000
201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 221-2003
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- plukyanchykov4176331@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Boca Raton, FL
- NPI 1508873183
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1417761073
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1124252333
-
- Internal Medicine Physician
- Port Orange, FL
- NPI 1861150625
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Weston, FL
- NPI 1659945038
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Home Health Agency
- Ft Lauderdale, FL
- NPI 1598717605
-
- Home Health Agency
- Plantation, FL
- NPI 1679717698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1831572510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 SE SALERNO RD",
"city": "STUART",
"state": "FL",
"postal_code": "349976503",
"telephone_number": "722-223-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SE SALERNO RD",
"city": "STUART",
"state": "FL",
"postal_code": "349976503",
"telephone_number": "772-223-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKYANCHYKOV",
"first_name": "PAVLO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-30",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME136126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.