Individual provider Active NPI

Kerri L Luzzo, MD

  • Reproductive Endocrinology Physician
  • Providence, RI
National Provider Identifier
1255548244
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
MD13581 Issued in RI
Practice address
134 Thurbers Ave
Suite 207
Providence, RI 02905-4754
Phone
(866) 861-2112
Fax
(401) 861-6066
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X MD13581 RI Primary

Addresses

Primary practice location

134 Thurbers Ave
Suite 207
Providence, RI 02905-4754

Mailing address

134 Thurbers Ave
Suite 207
Providence, RI 02905-4754

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

LicenseStateTypeSpecialty
MD13581RIMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Ivf, Inc. Reproductive Endocrinology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1255548244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 THURBERS AVE",
            "address_2": "SUITE 207",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 THURBERS AVE",
            "address_2": "SUITE 207",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054754",
            "telephone_number": "866-861-2112",
            "fax_number": "401-861-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZZO",
        "first_name": "KERRI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "RI",
            "license": "MD13581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.