ST LUKES MEDICAL CLINIC LLC
NPI 1407953581
Internal Medicine in Fort Collins, CO
About St Lukes Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST LUKES MEDICAL CLINIC LLC (NPI 1407953581) is a healthcare organization registered as an internal medicine in Fort Collins, Colorado and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through October 30, 2026 and lists Michael J Lynch, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St Lukes Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to St Lukes Medical Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D1060754
St Luke's Medical Clinic, LLC · Fort Collins, COFrequently 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 St Lukes Medical Clinic LLC's NPI number?
The NPI number for St Lukes Medical Clinic LLC is 1407953581. It was assigned to this organization in the NPPES registry on September 20, 2006.
Where is St Lukes Medical Clinic LLC located?
St Lukes Medical Clinic LLC is located at 1101 Oakridge Dr Suite B, Fort Collins, CO 80525. The listed phone number is (970) 223-1199.
What is St Lukes Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is St Lukes Medical Clinic LLC enrolled in Medicare?
Yes. St Lukes Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Lukes Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to St Lukes Medical Clinic LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (4) and Clinical Social Worker (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St Lukes Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D1060754) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for St Lukes Medical Clinic LLC was last updated on March 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# St Lukes Medical Clinic Llc · NPI 1407953581
Internal Medicine organization in Fort Collins, Colorado. Organization record, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1407953581 (Entity type: Organization)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Michael Lynch, OWNER
## Practice location
- **Address:** 1101 OAKRIDGE DR, SUITE B, Fort Collins, CO 80525-5591
- **Phone:** (970) 223-1199 · **Fax:** (970) 223-9566
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (4), Clinical Social Worker (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2008
- **Other identifiers:** Medicaid 07009216 (CO); Medicare PIN C806837 (CO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407953581) · Data from the CMS NPPES public registry.