Active NPI
Robert E Lutnick, MD
- Diagnostic Radiology Physician
- Buffalo, NY
National Provider Identifier
1053379412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 1681641
- Practice address
- 222 Genesee Street
Buffalo, NY 14203 - Phone
- (716) 855-2866
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 1681641 | NY | Primary |
Addresses
Primary practice location
222 Genesee Street
Buffalo, NY 14203
Mailing address
PO Box 8000
Dept 836
Buffalo, NY 14267
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01131144 | Medicaid | NY | |
| RB7061 | Other | MEDICARE | |
| 000511685013 | Other | BLUE SHIELD OF WESTERN NY | |
| 000511685017 | Other | BLUE SHIELD OF WESTERN NY | |
| 000525468009 | Other | BLUE SHIELD OF WESTERN NY | |
| 00010107807 | Other | UNIVERA | |
| 145793FF | Other | PREFERRED CARE | |
| 1681642W | Other | NY | WORKERS COMPENSATION |
| P00003639 | Other | RAILROAD MEDICARE | |
| 1608680 | Other | INDEPENDENT HEALTH | |
| 000525468011 | Other | BLUE SHIELD OF WESTERN NY | |
| 040426003026 | Other | FIDELIS | |
| 300127131 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1681641 | NY | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1053379412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8000",
"address_2": "DEPT 836",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 GENESEE STREET",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14203",
"telephone_number": "716-855-2866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTNICK",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "1681641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01131144",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "RB7061",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF WESTERN NY",
"identifier": "000511685013",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF WESTERN NY",
"identifier": "000511685017",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF WESTERN NY",
"identifier": "000525468009",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010107807",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "145793FF",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "1681642W",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00003639",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1608680",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF WESTERN NY",
"identifier": "000525468011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426003026",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300127131",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.