Daniel Luczkow, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

223191 Issued in MA

Practice address

49 Bursley Path
West Barnstable, MA 02668-1361

Phone

(508) 292-4270

NPI assigned

May 11, 2006

Last updated

Jan 21, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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 MedicineAlso: Podiatry

Education

University of Massachusetts Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobilehealth Wound Care LLCGroup PAC ID 5890281927, 4 clinicians

First Physicians CorporationGroup PAC ID 0244518454, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caretenders Home health agency, Needham Heights, MA, CCN 227269
• Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dluczkow44469@direct.southcoast.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobilehealth Wound Care LLC

  • Emergency Medicine Physician
  • Centerville, MA
  • NPI 1225901903
  Medicare reassignment Care Compare group NPD
• First Physicians Corporation

  • Emergency Medicine Physician
  • Fall River, MA
  • NPI 1255493474
  Medicare reassignment Care Compare group
• Medical Affiliates of Cape Cod, Inc.

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1770534927
  Medicare reassignment NPD
• Urgi Center Medical Group

  • Urgent Care Clinic/Center
  • Sandwich, MA
  • NPI 1902146798
  Medicare reassignment NPD
• Medical Affiliates of Cape Cod, Inc.

  • Ambulatory Surgical Clinic/Center
  • Mashpee, MA
  • NPI 1306391206
  NPD
• Bay Radiology Associates, Inc.

  • Diagnostic Radiology Physician
  • Falmouth, MA
  • NPI 1740392265
  NPD (past)
• Cape Cod Emergency Associates LLP

  • Emergency Medicine Physician
  • Hyannis, MA
  • NPI 1396462958
  NPD (past)
• Cape Cod Emergency Associates, LLC

  • Emergency Medicine Physician
  • Hyannis, MA
  • NPI 1851346746
  NPD (past)
• MHWC LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Centerville, MA
  • NPI 1891611778
  NPD (past)

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

• Caretenders VS of Boston, LLC

  dba Caretenders

  • Home Health Agency
  • Needham Heights, MA
  • NPI 1396929048
  Care Compare affiliation
• Southcoast Hospitals Group, Inc

  dba Tobey Hospital

  • General Acute Care Hospital
  • Wareham, MA
  • NPI 1922024835
  Care Compare affiliation

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1942250733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BURSLEY PATH",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026681361",
            "telephone_number": "508-292-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BURSLEY PATH",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026681361",
            "telephone_number": "508-292-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCZKOW",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "223191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "J29442",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103834",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Brooks Joslin, MSW
• Kind Eating Inc
• Jolyn Kittredge
• Jennifer Ann Lacasse, MSN, APRN, FNP-C
• Lindsay Lacorte, D.O.
• M. Boatright Wellness and Counseling, PLLC
• Delia K Malcolm, LMHC
• Athena Marie Marshall, RN
• Michelle Massaad
• Elizabeth Meagher

• Emergency Medicine Physician in West Barnstable, MA
• Providers in West Barnstable, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.