Active NPI
Alexandra Baker Lutz, MD
- Student in an Organized Health Care Education/Training Program
- Baltimore, MD
National Provider Identifier
1275119067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 110 S. Paca Street, 6TH Floor, Suite 300
Department of Orthopaedics
Baltimore, MD 21201 - Phone
- (407) 474-1540
- NPI assigned
- Mar 22, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
110 S. Paca Street, 6TH Floor, Suite 300
Department of Orthopaedics
Baltimore, MD 21201
Mailing address
110 S. Paca Street, 6TH Floor, Suite 300
Department of Orthopaedics
Baltimore, MD 21201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211005000828 | MD | Order and Referring Only - Orthopedic Surgery | 0143628206 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1275119067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S. PACA STREET, 6TH FLOOR, SUITE 300",
"address_2": "DEPARTMENT OF ORTHOPAEDICS",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S. PACA STREET, 6TH FLOOR, SUITE 300",
"address_2": "DEPARTMENT OF ORTHOPAEDICS",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "407-474-1540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "ALEXANDRA",
"middle_name": "BAKER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.