Active NPI
Evelina Luchyk, PA-C
- Medical Physician Assistant
- Willow Grove, PA
National Provider Identifier
1992499560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA064516
- Practice address
- 2360 Maryland Rd
Willow Grove, PA 19090-1709 - Phone
- (215) 657-6776
- Fax
- (267) 913-5962
- NPI assigned
- Jun 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA064516 | PA | Primary |
| Physician Assistant | 363A00000X | OA006477 | PA |
Addresses
Primary practice location
2360 Maryland Rd
Willow Grove, PA 19090-1709
Mailing address
24 James Dr
Denver, PA 17517-9351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA006477 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rheumatic Disease Associates,LTD | Past | Accepting new patients |
Interoperability endpoints
- evelina.luchyk.2@23060.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Family Medicine Physician
- King of Prussia, PA
- NPI 1114631769
-
- Family Medicine Physician
- Bellmawr, NJ
- NPI 1407439870
-
- Rheumatology Physician
- Willow Grove, PA
- NPI 1235116344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1992499560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 JAMES DR",
"city": "DENVER",
"state": "PA",
"postal_code": "175179351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 MARYLAND RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901709",
"telephone_number": "215-657-6776",
"fax_number": "267-913-5962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCHYK",
"first_name": "EVELINA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA064516",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA006477",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.