Active NPI
Stephen Y. Luk, DPM
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
National Provider Identifier
1891136628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC006480
- Practice address
- 1600 Arch St
Philadelphia, PA 19103-2028 - Phone
- (215) 987-1033
- NPI assigned
- Jul 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006480 | PA | Primary |
Addresses
Primary practice location
1600 Arch St
Philadelphia, PA 19103-2028
Mailing address
1600 Arch St Apt 1007
Philadelphia, PA 19103-2009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031291090003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1891136628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 ARCH ST APT 1007",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191032009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 ARCH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191032028",
"telephone_number": "215-987-1033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUK",
"first_name": "STEPHEN",
"middle_name": "Y.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-09",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC006480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1031291090003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.