DR. LUKE GILDO MIRABELLI MD
NPI 1710447255
Internal Medicine in Kansas City, KS

Q: What is Luke Mirabelli's NPI number?

The NPI number for Luke Mirabelli is 1710447255. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Q: What is Luke Mirabelli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Luke Mirabelli was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment

3901 RAINBOW BLVD # MS 1060, KANSAS CITY, KS 66160(913) 588-5276(913) 588-3974 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Jul 11, 2024, Jul 6, 2023 and 3 more (6 updates tracked since 2019).

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About Dr. Luke Gildo Mirabelli Md NPPES

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

DR. LUKE GILDO MIRABELLI MD (NPI 1710447255) is an individual internal medicine provider in Kansas City, Kansas, licensed in Utah (13848425-1205) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Utah School Of Medicine (2019).

NPPES Registry Identity

NPI1710447255

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. LUKE GILDO MIRABELLICredential: MD

Location Address3901 RAINBOW BLVD # MS 1060Kansas City, KS 66160-8500

Mailing Address3901 Rainbow Blvd # Ms 1060Kansas City, KS 66160-8500 · (913) 588-5000

Phone(913) 588-5276

Fax(913) 588-3974

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2019

Enumeration DateMarch 21, 2019

Last NPPES UpdateMarch 17, 20256 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1710447255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in UT · 13848425-1205

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 94-09805 (KS), 2023025341 (MO)

3901 RAINBOW BLVD # MS 1060, Kansas City, KS 66160

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Other Identifiers 2

Other2023025341MO · Missouri State Board Of Registration For The Healing Arts

Other94-09805KS · Kansas State Board Of Healing Arts

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Luke Gildo Mirabelli Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244565943

PECOS Enrollment IDI20240923002515

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICOLE MAY TRICARICO MD

Student in an Organized Health Care Education/Training Program