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LUKE IMMANUEL HARTMAN MD
NPI 1508327552
Pediatrics - Pediatric Emergency Medicine in Stony Brook, NY

Active since March 30, 2019PECOS Enrolled
101 NICOLLS RD, STONY BROOK, NY 11794(631) 638-1567 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2026, Apr 13, 2026, May 3, 2023 (3 updates tracked since 2023).

About Luke Immanuel Hartman Md NPPES

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

LUKE IMMANUEL HARTMAN MD (NPI 1508327552) is an individual pediatric emergency medicine provider in Stony Brook, New York, licensed in New York (345698) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508327552
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameLUKE IMMANUEL HARTMANCredential: MD
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-0650
Phone(631) 638-1567
Sole ProprietorNo
Enumeration DateMarch 30, 2019
Last NPPES UpdateSeptember 3, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1508327552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in NY · 345698
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 345698 (NY)
101 NICOLLS RD, Stony Brook, NY 11794
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luke Immanuel Hartman 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 Reassignments

2

Medicare enrollment records show Luke Hartman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nationwide Children's Hospital
524 mi
Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
NPI 1851179873 (614) 722-2055
Pediatric Academic Association, Inc.
524 mi
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579

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

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.

NARINDER SINGH M.D.
Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4000
DR. KANHAI FARRAKHAN MD
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-0580
MS. HAYLEY ALEXANDRA MENA LMSW
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (516) 761-4107
MRS. HEATHER MARIE CALIGIURI ANP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 631-4449
MR. SAM TARIK MENDOUNE I NP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 335-1657
ALEXIE LESSING
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4686
DR. BENJAMIN RISMANY MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
JULIA RYAN MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 689-8333

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 Luke Hartman's NPI number?

The NPI number for Luke Hartman is 1508327552. It was assigned to this individual provider in the NPPES registry on March 30, 2019.

Where is Luke Hartman located?

Luke Hartman practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 638-1567.

What is Luke Hartman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Luke Hartman enrolled in Medicare?

Yes. Luke Hartman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Luke Hartman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Hartman reassigns Medicare benefits to 2 organizations: Nationwide Children's Hospital (Columbus, OH) and Pediatric Academic Association, Inc. (Columbus, OH). Each 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 Luke Hartman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luke Hartman accept?

Health plans from Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. list Luke Hartman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Luke Hartman was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.