Minou Luo, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS044013 Issued in PA

Practice address

1075 Berkshire Blvd
Wyomissing, PA 19610-1264

Phone

(610) 374-4093

NPI assigned

Jun 22, 2018

Last updated

May 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Romeo Luo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 8, 2023 through Jun 8, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Anesthesia Care Partners LLC

  • Certified Registered Nurse Anesthetist
  • New Cumberland, PA
  • NPI 1528500329
  NPD
• Berks Oral Surgery LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Wyomissing, PA
  • NPI 1790710325
  NPD (past)
• Berks Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Wyomissing, PA
  • NPI 1407770357
  NPD (past)

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715990400000",
    "number": "1093200917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 BERKSHIRE BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101264",
            "telephone_number": "610-374-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BERKSHIRE BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101264",
            "telephone_number": "610-374-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO",
        "first_name": "MINOU",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS044013",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROMEO",
            "last_name": "LUO",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melissa Lopez
• Li-Hong Lu, M.D.
• Jacob William Lucas, D.O.
• Casey Alexandra Luciano
• Luke Ministries (Lamplight Family Health Care)
• Deidre Lupia
• Charles K. Lutz, M.D.
• Luxottica of America Inc (Target Optical #1923)
• Luxottica of America Inc. (Lenscrafters #450)
• Luxottica Retail North America Inc (Pearle Vision #C6458)

• Oral and Maxillofacial Surgery (Dentist) in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.