Individual provider Active NPI

Michael Luvin, MD

  • Anesthesiology Physician
  • Rockville Centre, NY
National Provider Identifier
1275512758
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
165779-1 Issued in NY
Practice address
77 N Centre Ave
Suite 202
Rockville Centre, NY 11570-3923
Phone
(516) 764-7246
Fax
(516) 678-3525
NPI assigned
Jan 12, 2006
Last updated
Nov 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 165779-1 NY Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 165779-1 NY

Addresses

Primary practice location

77 N Centre Ave
Suite 202
Rockville Centre, NY 11570-3923

Mailing address

77 N Centre Ave
Suite 202
Rockville Centre, NY 11570-3923
Phone (516) 764-7246

Other identifiers 9

IdentifierTypeStateIssuer
01163991MedicaidNY
4228750OtherAETNA PPO
8799820OtherGHI PPO
150174OtherVYTRA
97B341OtherBCBS & SENIOR PLAN
P2084603OtherOXFORD
7772066OtherCIGNA
87249OtherGHI HMO
CM0035OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040709000197 NY Practitioner - AnesthesiologyPractitioner - Pain Management 6709864564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Albany Medical College of Union University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Randn Anesthesia PLLCGroup PAC ID 2062737794, 32 clinicians

Practice addresses (Care Compare)

175 Remsen St
Brooklyn, NY 11201-4333
Phone (718) 222-5999

2001 Marcus Ave
New Hyde Park, NY 11042-2061
Phone (718) 222-5999

944 N Broadway
Yonkers, NY 10701-1304
Phone (718) 222-5999

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165779-1NYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Oct 15, 2021 Accepting new patients
Island Medical Pain Management Services PC Anesthesiology Past Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology Past Accepting new patients
Glacier Cryo Medical P.C Anesthesiology Past Accepting new patients
Peninsula Radiology Associates P C Past Accepting new patients
Brookhaven Orthopedic Associates MD PC PastSince Mar 1, 2015 Accepting new patients

Locations

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1275512758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 N CENTRE AVE",
            "address_2": "SUITE 202",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703923",
            "telephone_number": "516-764-7246",
            "fax_number": "516-678-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N CENTRE AVE",
            "address_2": "SUITE 202",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703923",
            "telephone_number": "516-764-7246",
            "fax_number": "516-678-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUVIN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "165779-1",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "165779-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01163991",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4228750",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "8799820",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "150174",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS & SENIOR PLAN",
            "identifier": "97B341",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2084603",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7772066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "87249",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM0035",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.