Active NPI
Derek Thomas Luthi, PA-C
- Medical Physician Assistant
- Greenfield, MA
National Provider Identifier
1114548450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA7972
- Practice address
- 102 Main St
Greenfield, MA 01301-3275 - Phone
- (413) 325-8500
- Fax
- (508) 363-1504
- NPI assigned
- Apr 28, 2020
- Last updated
- Sep 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA7972 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
102 Main St
Greenfield, MA 01301-3275
Mailing address
102 Main St
Greenfield, MA 01301-3275
Phone (413) 325-8500
Other practice location 1
360 Huntington Ave
Boston, MA 02115-5000
Phone (617) 373-3195
Other practice location 2
309 Belmont St
Worcester, MA 01604-1059
Phone (508) 368-3477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Main St
Greenfield, MA 01301-3224
102 Main St
Greenfield, MA 01301-3275
Phone 4133258500109
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA7972 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Franklin County Incorporated | Current | Accepting new patients | |
| Community Health Center of Franklin County Incorporated | Current | Accepting new patients |
Locations
102 Main St
Greenfield, MA 01301
Phone (413) 325-8500
119 New Athol Rd
Orange, MA 01364
Phone (978) 249-9033
Interoperability endpoints
- dluthi19993@direct.ctc.masshiway.net
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Greenfield, MA
- NPI 1457300329
-
- Federally Qualified Health Center (FQHC)
- Turners Falls, MA
- NPI 1093566069
-
dba Health Center Pharmacy
- Community/Retail Pharmacy
- Orange, MA
- NPI 1427873520
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenfield, MA
- NPI 1508867391
-
- Home Health Agency
- Gardner, MA
- NPI 1477526705
-
- Home Health Agency
- Northampton, MA
- NPI 1134196439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1114548450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MAIN ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013013275",
"telephone_number": "413-325-8500",
"fax_number": "508-363-1504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MAIN ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013013275",
"telephone_number": "413-325-8500",
"fax_number": "508-363-1504"
}
],
"practiceLocations": [
{
"address_1": "360 Huntington Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155000",
"country_code": "US",
"telephone_number": "617-373-3195",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 Belmont St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016041059",
"country_code": "US",
"telephone_number": "508-368-3477",
"fax_number": "508-363-1504",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUTHI",
"first_name": "DEREK",
"middle_name": "THOMAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-28",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "PA7972",
"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": []
}Other providers in Greenfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.