LUKE BURKETT FONDREN DO
NPI 1255837886
Student in an Organized Health Care Education/Training Program in Foley, AL

Q: What is Luke Fondren's NPI number?

The NPI number for Luke Fondren is 1255837886. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Q: What is Luke Fondren's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Luke Fondren was last updated on April 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 03, 2018PECOS Enrolled

71.08/100

CMS Quality Rating

1613 N MCKENZIE ST, FOLEY, AL 36535(251) 949-3400 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2020, Dec 12, 2019 (2 updates tracked since 2019).

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About Luke Burkett Fondren Do NPPES

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

LUKE BURKETT FONDREN DO (NPI 1255837886) is an individual student in an organized health care education/training program in Foley, Alabama and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255837886

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLUKE BURKETT FONDRENCredential: DO

Location Address1613 N MCKENZIE STFoley, AL 36535-2247

Mailing Address7856 Westside Park Dr Ste HMobile, AL 36695-8539 · (251) 450-8151

Phone(251) 949-3400

Sole ProprietorNo

Enumeration DateApril 3, 2018

Last NPPES UpdateApril 2, 20202 updates tracked since enumeration

NPPES CertifiedApril 2, 2020

✔ NPI 1255837886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedGeneral PracticeTaxonomy 208D00000X · License DO.2036 (AL)

1613 N MCKENZIE ST, Foley, AL 36535

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luke Burkett Fondren Do 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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

54.33

Promoting Interoperability

Improvement Activities

Cost

57.6

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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.

DR. JOHN J CAMPBELL M.D.

Radiology (Diagnostic Radiology)