Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. JOHN R LUCKASEN M.D.
NPI 1114921525
Dermatology in Omaha, NE

Active since June 13, 2005
4242 FARNAM ST, STE 360, OMAHA, NE 68131(402) 552-2555(402) 552-2573 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John R Luckasen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN R LUCKASEN M.D. (NPI 1114921525) is an individual dermatology provider in Omaha, Nebraska, licensed in Nebraska (12194) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1114921525
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMR. JOHN R LUCKASENCredential: M.D.
Location Address4242 FARNAM ST, STE 360Omaha, NE 68131-2850
Mailing Address4242 Farnam St, Ste 360Omaha, NE 68131-2850 · (402) 552-2555 · Fax (402) 552-2573
Fax(402) 552-2573
Sole ProprietorNo
Enumeration DateJune 13, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1114921525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NE · 12194
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4242 FARNAM ST, Omaha, NE 68131

Other Identifiers 9

Other139381XXNE · Preferred Care
Other91864IA · Blue Shield
Medicaid47062325613NE
Other501880PA · Blue Shield
Other0001967SD · Blue Shield
Other00686NE · Blue Shield
Medicaid0918649IA
Other0300003NE · United Health Care
Medicaid7787680SD

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
4242 FARNAM ST, #142
OMAHA, NE 68131
Internal Medicine (Pulmonary Disease)
4242 FARNAM ST, #355
OMAHA, NE 68131
Psychologist
4242 FARNAM ST
OMAHA, NE 68131
Neurological Surgery
4242 FARNAM ST, SUITE 363
OMAHA, NE 68131
Clinical Neuropsychologist
4242 FARNAM ST
OMAHA, NE 68131
Clinical Neuropsychologist
4242 FARNAM ST, SUITE 655
OMAHA, NE 68131
Pharmacist
4242 FARNAM ST
OMAHA, NE 68131
Registered Nurse (Emergency)
4242 FARNAM ST
OMAHA, NE 68131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Luckasen's NPI number?

The NPI number for John Luckasen is 1114921525. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is John Luckasen located?

John Luckasen practices at 4242 Farnam St Ste 360, Omaha, NE 68131. The listed phone number is (402) 552-2555.

What is John Luckasen's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for John Luckasen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.