DR. CHRISTINE WILKINS LUCKY (MD) – Infectious Disease Physician, NPI 1972064624

DR. CHRISTINE WILKINS LUCKY (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036.160732 (IL). The NPI Number for DR. CHRISTINE WILKINS LUCKY (MD) is 1972064624

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTINE WILKINS LUCKY (MD)
NPI
1972064624
Phone
Not provided
Address
1120 W MICHIGAN ST # CL630
Enumeration Date
26 March 2019
Last Update Date
25 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
5799019089
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20250721000717
Address ID
IL602011700EV2650XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

190 INFECTIOUS DISEASE in IN

Provider Addresses for DR. CHRISTINE WILKINS LUCKY (MD)

  • 1120 W MICHIGAN ST # CL630

    INDIANAPOLIS, IN 462025209

    Phone:

    Type: Mailing

  • 600 S PAULINA ST

    CHICAGO, IL 606123806

    Phone: (312) 942-9694

    Type: Mailing

  • 2650 RIDGE AVE STE 1223

    EVANSTON, IL 602011700

    Phone: (847) 570-2040

    Fax: (847) 570-5315

    Type: Mailing

  • 2150 PFINGSTEN RD STE 3000

    GLENVIEW, IL 600261314

    Phone: (847) 657-5959

    Fax: (847) 657-5764

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250721000717IInfectious DiseaseILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

What number should I use to identify DR. CHRISTINE WILKINS LUCKY (MD) for billing?
Administrative and clinical systems typically use NPI 1972064624 for DR. CHRISTINE WILKINS LUCKY (MD).
Should I treat DR. CHRISTINE WILKINS LUCKY (MD) as an active provider?
Patients and plans typically see DR. CHRISTINE WILKINS LUCKY (MD) as active in the national extract.
How should patients interpret DR. CHRISTINE WILKINS LUCKY (MD)'s specialty?
The extract shows Infectious Disease Physician for DR. CHRISTINE WILKINS LUCKY (MD). Clinical services aligned with this taxonomy classification.
What city is tied to DR. CHRISTINE WILKINS LUCKY (MD)?
The directory associates DR. CHRISTINE WILKINS LUCKY (MD) with Indianapolis, Indiana. Check all listed addresses for suites or satellite offices.
Who maintains DR. CHRISTINE WILKINS LUCKY (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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