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KIRK JOSEPH LUETKEHANS MD
NPI 1215900196
Pediatrics in Los Angeles, CA

Active since February 09, 2006PECOS Enrolled
5971 VENICE BLVD, LOS ANGELES, CA 90034(323) 857-2548 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 29, 2021, Mar 11, 2020, Oct 30, 2019 (3 updates tracked since 2019).

About Kirk Joseph Luetkehans Md NPPES

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

KIRK JOSEPH LUETKEHANS MD (NPI 1215900196) is an individual pediatrics provider in Los Angeles, California, licensed in California (A68177) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215900196
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKIRK JOSEPH LUETKEHANSCredential: MD
Location Address5971 VENICE BLVDLos Angeles, CA 90034-1713
Mailing Address393 E Walnut St Fl 3, Phr Group Provider Enrollment UnitPasadena, CA 91188-0001 · (877) 608-0044 · Fax (877) 514-0903
Phone(323) 857-2548
Sole ProprietorNo
Enumeration DateFebruary 9, 2006
Last NPPES UpdateNovember 29, 20213 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1215900196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A68177
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5971 VENICE BLVD, Los Angeles, CA 90034
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kirk Joseph Luetkehans Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kirk Luetkehans reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
0.2 mi
Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242563 (323) 857-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KATERINA MARY ZAKKA MD
Internal Medicine
5971 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2000
MISS OZMA KHAN PHARM.D.
Pharmacist
5971 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2137
KATHLEEN WAN-JANE LO
Pharmacist
5971 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (323) 857-4393
CRAIG HOLT LOWERY M.A., CCC-SP
Speech-Language Pathologist
5971 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (323) 857-3255
NEEKA NOORI DO
Internal Medicine
5971 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2000
LEVINA LIN
Pediatrics
5971 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2000
DR. MANJU CHACKO DAWKINS M.D.
Dermatology
5971 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (323) 857-4322
TRACY PAULA TRANG PHARM.D.
Pharmacist
5971 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (323) 857-3989

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 Kirk Luetkehans's NPI number?

The NPI number for Kirk Luetkehans is 1215900196. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Kirk Luetkehans located?

Kirk Luetkehans practices at 5971 Venice Blvd, Los Angeles, CA 90034. The listed phone number is (323) 857-2548.

What is Kirk Luetkehans's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kirk Luetkehans enrolled in Medicare?

Yes. Kirk Luetkehans is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kirk Luetkehans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kirk Luetkehans reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kirk Luetkehans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kirk Luetkehans was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.