Individual provider Active NPI

Ruby Lukse, M.D.

  • Diagnostic Radiology Physician
  • Bronx, NY
National Provider Identifier
1982929568
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
277400 Issued in NY
Practice address
1400 Pelham Pkwy S
Bronx, NY 10461
Phone
(718) 918-3513
NPI assigned
Apr 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X ME126682 FL
Diagnostic Radiology Physician 2085R0202X ME126682 FL
Diagnostic Radiology Physician 2085R0202X 277400 NY Primary

Addresses

Primary practice location

1400 Pelham Pkwy S
Bronx, NY 10461

Mailing address

1400 Pelham Pkwy S
Bronx, NY 10461-1138
Phone (718) 918-3513

Other practice location 1

20 W Kaley St
Orlando, FL 32806-2931
Phone (407) 423-2581 ext. 267

Other practice location 2

20 W Kaley St
Orlando, FL 32806-2931
Phone (407) 423-2581 ext. 267

Other identifiers 2

IdentifierTypeStateIssuer
017886400MedicaidFL
277400OtherNYNEW YORK STATE MEDICAL LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160720002546 FL Practitioner - Diagnostic Radiology 0042503526 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126682FLMDDiagnostic Radiology Physician
277400NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohri, LLC Diagnostic Radiology CurrentSince Jul 11, 2018 Accepting new patients
Ohri, LLC CurrentSince Jul 11, 2018 Accepting new patients
Singleton Associates PA Pediatric Radiology CurrentSince May 15, 2024 Accepting new patients

Locations

398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955

1800 S Orange Ave
Orlando, FL 32806
Phone (407) 637-8356

20 W Kaley St
Orlando, FL 32806
Phone (407) 423-2581

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: rlukse1050051@nychhc.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1982929568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "718-918-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-918-3513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 W Kaley St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062931",
            "country_code": "US",
            "telephone_number": "407-423-2581 x267",
            "fax_number": "407-849-6470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 W Kaley St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062931",
            "country_code": "US",
            "telephone_number": "407-423-2581 x267",
            "fax_number": "407-849-6470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKSE",
        "first_name": "RUBY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "FL",
            "license": "ME126682",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME126682",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "277400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017886400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE MEDICAL LICENSE",
            "identifier": "277400",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.