Luther St. James III, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME51067 Issued in FL

Practice address

1890 Lpga Blvd
170
Daytona Beach, FL 32117-7130

Phone

(386) 274-3354

Fax

(386) 274-5564

NPI assigned

Oct 11, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Florida College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Endocrinology of Central Florida PAGroup PAC ID 5597731380, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Deland Hospital, Deland, FL, CCN 100045

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIGHCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Endocrinology of Central Florida PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Deland, FL
  • NPI 1730185307
  Medicare reassignment Care Compare group NPD
• Adventhealth Primary Care Network Inc

  • Family Medicine Physician
  • Altamonte Springs, FL
  • NPI 1093493637
  NPD
• Halifax Healthcare Systems Inc

  • Cardiovascular Disease Physician
  • Daytona Beach, FL
  • NPI 1366452591
  NPD (past)
• Mobile Medical Industries Inc

  • Primary Care Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1528019247
  NPD (past)
• Stand-Up MRI & Diagnostic Center Inc

  • Diagnostic Radiology Physician
  • Ormond Beach, FL
  • NPI 1720053515
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hospital-West Volusia Inc

  • General Acute Care Hospital
  • Deland, FL
  • NPI 1649367269
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1013105477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 LPGA BLVD",
            "address_2": "170",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177130",
            "telephone_number": "386-274-3354",
            "fax_number": "386-274-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 LPGA BLVD",
            "address_2": "170",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177130",
            "telephone_number": "386-274-3354",
            "fax_number": "386-274-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JAMES",
        "first_name": "LUTHER",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME51067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "08883",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "ME51067",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Spivey, L.C.S.W.
• Peter Springer, MD
• Neville Willibe Spurgeon Jr., MS, ATC, LAT
• Sreyboth Sreng, APRN
• Sathvik Srikanth
• Kimberly W Stackpole
• Tyler Jay Staley, M.D.
• Molly Stamper
• Linda L Stanislaw, LMHC
• Bethany Tabetha Stapinski, LCSW

• Family Medicine Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.