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LUKE EDWARD SEVERINAC DO
NPI 1609570712
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since March 30, 2023PECOS Enrolled
5109 W BROAD ST, COLUMBUS, OH 43228(614) 544-1976 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Luke Edward Severinac Do NPPES

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

LUKE EDWARD SEVERINAC DO (NPI 1609570712) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Marian University College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1609570712
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUKE EDWARD SEVERINACCredential: DO
Location Address5109 W BROAD STColumbus, OH 43228-1648
Mailing Address5109 W Broad StColumbus, OH 43228-1648
Phone(614) 544-1976
Sole ProprietorNo
Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2023
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
✔ NPI 1609570712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5109 W BROAD ST, Columbus, OH 43228
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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)

Luke Edward Severinac Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870051766
PECOS Enrollment IDI20260820003828
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 Luke Severinac reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwest Dysphagia Consultants, LLC
87 mi
Geriatric Medicine
5710 WOOSTER PIKE STE 102
Cincinnati, OH 45227
  • Reassigned Medicare billing, Ohio enrollment
  • 15 clinicians in this Medicare group
NPI 1639404171 (281) 272-6277

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.

PAULO S NUNES DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
DR. TREVOR DEW DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
DUVEEN NALAMOTHU DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
ANASTASIA COLLIER
Social Worker (Clinical)
5109 W BROAD ST, 104
COLUMBUS, OH 43228
Franklin County (614) 279-7690
MEGAN FLESHMAN
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
ASHLEY GERARD DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
DR. BRADLEY CHRISTOPHER KRUITHOFF DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
DR. GRACE BERRY DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976

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 Severinac's NPI number?

The NPI number for Luke Severinac is 1609570712. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Luke Severinac located?

Luke Severinac practices at 5109 W Broad St, Columbus, OH 43228. The listed phone number is (614) 544-1976.

What is Luke Severinac's specialty?

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

Is Luke Severinac enrolled in Medicare?

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

Which organization bills Medicare for Luke Severinac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Severinac reassigns Medicare benefits to Midwest Dysphagia Consultants, LLC (Cincinnati, OH). 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 Luke Severinac'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 Luke Severinac was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.