MR. LUKE GERARD NELLIGAN D.O. NPI 1578540522

NPI Information

  • NPI: 1578540522
  • Provider Name: MR. LUKE GERARD NELLIGAN, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1329 WEST 96TH STREET
    EXCELL FOR LIFE
    INDIANAPOLIS, IN
    ZIP 46260
  • Phone: (317) 660-0888

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NPI Details

MR. Luke Gerard Nelligan, D.O. is a family medicine in Indianapolis, IN with 34 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Luke Gerard Nelligan, D.O. NPI is 1578540522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1991

The provider's business location address is:

1329 WEST 96TH STREET
EXCELL FOR LIFE
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 660-0888
Fax: (317) 660-0880

The NPI 1578540522 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)

The enumeration date for this NPI number is 12/29/2005 and was last updated on 2/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine02001548INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100465550AMEDICAIDINDIANA
2252030AMEDICARE PININDIANA
3200856130MEDICAIDINDIANA
4000000520470OTHERANTHEM
55428035OTHERAETNA
6F93845MEDICARE UPIN
715D1069058OTHERINDIANACLIA
8768544OTHERCIGNA
9000000632914OTHERINDIANABC/BS PIKE MEDICAL
10248600YMEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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