Luke McKenzie Conklin
NPI 1336641521ActiveIndividual· Family Medicine· O Fallon, IL
Family Medicine with Southern Illinois Healthcare Foundation Inc and 1 other group, practicing in O Fallon, Illinois. Enrolled in Medicare as practitioner - family practice. Lists Hshs St Elizabeth's Hospital as a hospital affiliation.
Overview
| NPI | 1336641521 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 2, 2018 |
| Last updated in NPPES | Jul 25, 2024 |
| Certified by provider | Jul 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 036164625 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (IL) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Family Practice |
Medical groups
- Southern Illinois Healthcare Foundation IncEast Saint Louis, IL · 119 clinicians
- Vituity - Illinois Auc LLPO Fallon, IL · 36 clinicians
Hospital affiliation
- Hshs St Elizabeth's HospitalO Fallon, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in O Fallon
- 1366649733
- 1902999683
- 1396142139
- 1104849165
- 1386174381
- 1437386083
- 1407424732
- 1730317702
- 1023672409
- 1609570456
- 1477139202
- 1013378652