Individual provider Active NPI

Luke Curran Olson

  • Anatomic Pathology & Clinical Pathology Physician
  • Manchester, CT
National Provider Identifier
1992123012
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
66540 Issued in CT
Practice address
71 Haynes Street
Pathology Dept.
Manchester, CT 06040
Phone
(860) 647-6487
NPI assigned
Apr 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 285793 MA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 66540 CT Primary

Addresses

Primary practice location

71 Haynes Street
Pathology Dept.
Manchester, CT 06040

Mailing address

611 E Hillcrest Dr
Verona, WI 53593-1517
Phone (608) 469-3983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20200812000589 CT Practitioner - Pathology 0941626626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Geisel School of Medicine at Dartmouth, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Connecticut Pathology Consultants, PCGroup PAC ID 3173511581, 19 clinicians

Practice addresses (Care Compare)

575 Beech St
Holyoke, MA 01040-2223
Phone (860) 970-9035

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 647-6487

Merit-based Incentive Payment System (MIPS)

Final score
55.67 of 100Reported as group
Quality
46.42
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
285793MAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Connecticut Pathology Consultants, PC Anatomic Pathology & Clinical Pathology CurrentSince Aug 3, 2020 Accepting new patients
Eastern Connecticut Pathology Consultants, P.C. Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

94 South St
Southbridge, MA 01550
Phone (508) 764-2772

Organizations & group practices 2

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1992123012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E HILLCREST DR",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931517",
            "telephone_number": "608-469-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES STREET",
            "address_2": "PATHOLOGY DEPT.",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-647-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "LUKE",
        "middle_name": "CURRAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "285793",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CT",
            "license": "66540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.