MARK LUQUETTE (M.D.) – Pediatric Pathology Physician, NPI 1154305324
Pediatric Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
260 PATHOLOGY in AL
Provider Addresses for MARK LUQUETTE (M.D.)
University of Minnesota Medical Center East Bank Hospital, 500, Southeast Harvard Street, Minneapolis, Hennepin County, Minnesota, 55455, United States
MINNEAPOLIS, MN 554550363
Phone: (612) 273-3000
Fax: (612) 273-4370
Type: Mailing
1700 CENTER ST
MOBILE, AL 366043301
Phone: (251) 415-1612
Fax: (251) 415-1003
Type: Location
500 HARVARD ST SE STE 609
MINNEAPOLIS, MN 554550363
Phone: (612) 273-3000
Fax: (612) 273-4370
Type: Location
PO BOX 746450
ATLANTA, GA 303746450
Phone: (866) 401-3057
Fax: (318) 868-6430
Type: Mailing
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: 2025-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150521001369 | I | Pathology | MN | TBD |
| I20251110001687 | I | Pathology | AL | TBD |
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.
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 55455)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MN | |
| G A S T R O E N T E R O L O G Y | MN | |
| N E U R O S U R G E R Y | OH | |
| - | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| - | MN | |
| - | MN | |
| Physical Therapist In Private Practice | OR | |
| Cardiovascular Disease (Cardiology) | IL |
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