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DR. LUKE KICKLIGHTER MD
NPI 1831771542
Internal Medicine - Hematology & Oncology in Minneapolis, MN

Active since April 22, 2021PECOS Enrolled
420 DELAWARE ST SE # 480, MINNEAPOLIS, MN 55455(612) 626-0400 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Jun 27, 2024, Apr 22, 2021 (3 updates tracked since 2021).

About Dr. Luke Kicklighter Md NPPES

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

DR. LUKE KICKLIGHTER MD (NPI 1831771542) is an individual hematology & oncology provider in Minneapolis, Minnesota, licensed in Minnesota (80093) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831771542
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. LUKE KICKLIGHTERCredential: MD
Location Address420 DELAWARE ST SE # 480Minneapolis, MN 55455-0341
Mailing AddressPo Box 980257Richmond, VA 23298-0257 · (804) 828-9783
Phone(612) 626-0400
Sole ProprietorNo
Enumeration DateApril 22, 2021
Last NPPES UpdateJune 20, 20253 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1831771542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MN · 80093
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0116035128 (VA)
Also ListedPediatricsTaxonomy 208000000X · License 0116035128 (VA)
420 DELAWARE ST SE # 480, Minneapolis, MN 55455
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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)

Dr. Luke Kicklighter 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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

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

QUAN HOANG PHUNG MD
Hospitalist
420 DELAWARE ST SE # 480
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-0400

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 Kicklighter's NPI number?

The NPI number for Luke Kicklighter is 1831771542. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Luke Kicklighter located?

Luke Kicklighter practices at 420 Delaware St SE # 480, Minneapolis, MN 55455. The listed phone number is (612) 626-0400.

What is Luke Kicklighter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Luke Kicklighter enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Luke Kicklighter was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.