Individual provider Active NPI

Scott Alfred Luking, M.D.

  • Family Medicine Physician
  • Reidsville, NC
National Provider Identifier
1912903188
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34385 Issued in NC
Practice address
520 Maple Ave
Ste B
Reidsville, NC 27320-4600
Phone
(336) 634-3960
Fax
(336) 634-3919
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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 34385 NC Primary

Addresses

Primary practice location

520 Maple Ave
Ste B
Reidsville, NC 27320-4600

Mailing address

520 Maple Ave
Ste B
Reidsville, NC 27320-4600
Phone (336) 634-3960

Other identifiers 1

IdentifierTypeStateIssuer
8953168MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sluking15009@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110913000936 NC Practitioner - Family Practice 9133309438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Affiliated Physicians, Inc.Group PAC ID 3779635396, 80 clinicians

Practice addresses (Care Compare)

520 Maple Ave
Suite B
Reidsville, NC 27320-4600
Phone (336) 634-3960

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Greensboro, NC, CCN 347211
  • Amedisys Home Health Home health agency, Durham, NC, CCN 347110
  • Ancora Compassionate Care Hospice, Reidsville, NC, CCN 341529
  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Affiliated Physicians, Inc. CurrentSince Jul 17, 2011 Accepting new patients
Moses Cone Affiliated Physicians, Inc. Family Medicine CurrentSince Jul 17, 2011 Accepting new patients
Moses Cone Affiliated Physicians, Inc Family Medicine Current Accepting new patients
Reidsville Family Medicine, PA Family Medicine PastSince Jul 1, 1993 Accepting new patients

Locations

1200 N Elm St
#5
Greensboro, NC 27401
Phone (336) 832-5777

520 Maple Ave
Ste B
Reidsville, NC 27320
Phone (336) 634-3950

Interoperability endpoints

  • Direct secure messaging: sluking15009@direct.conehealth.com

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1912903188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MAPLE AVE",
            "address_2": "STE B",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273204600",
            "telephone_number": "336-634-3960",
            "fax_number": "336-634-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MAPLE AVE",
            "address_2": "STE B",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273204600",
            "telephone_number": "336-634-3960",
            "fax_number": "336-634-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKING",
        "first_name": "SCOTT",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "34385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8953168",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sluking15009@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "520 Maple Ave",
            "address_2": "Ste B",
            "city": "Reidsville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273204600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.