LUCAS BERGHOFF D.O. – NPI #1821521394
Family Medicine

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Health Care Provider Taxonomy Code for Family Medicine

LUCAS BERGHOFF is a physician located in FORT WAYNE, IN. NPPES has assigned the NPI number 1821521394 to LUCAS BERGHOFF on April 11, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QS0010X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Sports Medicine

The NPI profile was previously updated about 4 years ago on Mar 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUCAS BERGHOFF below.

NPI Profile for
LUCAS BERGHOFF

NPI Number
1821521394
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LUCAS BERGHOFF
Credentials
D.O.
Primary location
2516 E DUPONT RD
FORT WAYNE, IN 46825-1608
Phone: (260) 458-3035 Fax: (260) 458-3036
Mailing address
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone: (260) 458-3035 Fax: (260) 458-3036
Sole Proprietor
Yes
Updated
Certification Date
Mar 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QS0010X
- Family Medicine / Sports Medicine (Primary)		 IN 02005944A
207Q00000X
- Family Medicine		 IN 02005944A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DM
Content Type
Affiliation
N
Endpoint Location
2516 E DUPONT RD,
FORT WAYNE, IN 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LUCAS BERGHOFF is affiliated with the following medical group(s):
  • HOSPITAL
    • DUPONT HOSPITAL LLC
      2520 E DUPONT RD
      FORT WAYNE, IN 46825
    • THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR
      7952 W JEFFERSON BLVD
      FORT WAYNE, IN 46804

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