NPIMap

Individual provider Active NPI

Amar Luzic, MD

  • Family Medicine Physician
  • Utica, NY
National Provider Identifier
1235525866
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
324415 Issued in NY
Practice address
120 Hobart St
Utica, NY 13501-4308
Phone
(315) 798-1149
NPI assigned
Apr 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 276535 MA
Family Medicine Physician 207Q00000X 324415 NY Primary

Addresses

Primary practice location

120 Hobart St
Utica, NY 13501-4308

Mailing address

111 Hospital Dr
Utica, NY 13502-2517

Other practice location 1

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 693-0019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190117000963 MA Practitioner - Family Practice 7719223494 Reassigns benefits to 2 organizations
I20230908001780 NY Practitioner - Family Practice 7719223494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martha'S Vineyard Hospital IncGroup PAC ID 9931166113, shared by 5 NPIs, 150 clinicians

Practice addresses (Care Compare)

1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone 508693041079525

Hospital & facility affiliations

  • Vna of Cape Cod Home health agency, South Dennis, MA, CCN 227067
  • Martha'S Vineyard Hospital Inc Hospital, Oak Bluffs, MA, CCN 221300
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Martha'S Vineyard Hospital Inc Nursing home, CCN 22Z300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
324415NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Martha'S Vineyard Hospital Current Accepting new patients
MVHS Inc Family Medicine CurrentSince Oct 28, 2023 Accepting new patients
Martha'S Vineyard Hospital, Inc. Family Medicine CurrentSince Nov 30, 2018 Accepting new patients
Martha'S Vineyard Hospital, Inc. CurrentSince Nov 30, 2018 Accepting new patients
MVHS Inc CurrentSince Oct 28, 2023 Accepting new patients
MVHS Inc Past Accepting new patients

Locations

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

120 Hobart St
Utica, NY 13501
Phone (315) 798-1149

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Interoperability endpoints

  • Direct secure messaging: luzic.amar.mvh@direct.partners.masshiway.net

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1235525866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HOSPITAL DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022517",
            "fax_number": "508-693-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOBART ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135014308",
            "telephone_number": "315-798-1149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Oak Bluffs",
            "state": "MA",
            "postal_code": "02557",
            "country_code": "US",
            "telephone_number": "508-693-0019",
            "fax_number": "508-693-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUZIC",
        "first_name": "AMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "276535",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "324415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.