Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Luke Wibowo, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1861487068

Luke Wibowo, MD is a Pathology in Dayton, Ohio. Qualified in 1981, 45 years ago. Practices with Valley Pathologists, Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
45
Licensed in
OH
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Wyoming St
Dayton, OH 45409-2722
Phone: (937) 208-2978
Fax: (937) 208-6137
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 35.068054 (OH)

Record details

NPI number1861487068
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2005
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023
Mailing addressPo Box 20452, Columbus, OH 43220-0452

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Valley Pathologists, Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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