Individual provider Active NPI

Rixt Anna Catharina Luikenaar, MD

  • Obstetrics & Gynecology Physician
  • Holladay, UT
National Provider Identifier
1285688101
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
53099731205 Issued in UT
Practice address
2180 E 4500 S Ste 265
Holladay, UT 84117-4024
Phone
(801) 272-3909
Fax
(801) 272-3902
NPI assigned
May 22, 2006
Last updated
Apr 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 53099731205 UT Primary

Addresses

Primary practice location

2180 E 4500 S Ste 265
Holladay, UT 84117-4024

Mailing address

2180 E 4500 S Ste 265
Holladay, UT 84117-4024
Phone (801) 272-3909

Other identifiers 11

IdentifierTypeStateIssuer
378821200OtherUTDOL GRP 22
813565OtherUTDMBA
D5070MedicaidUT
97977OtherUTU HEALTH PLANS
73582OtherUTPEHP GRP 22
53099731201001OtherUTBCBS GRP 22
QM0000068194OtherUTALTIUS
107022141101OtherUTIHC GRP 22
121269900MedicaidUT
TPRA07450OtherUTMOLINA GRP 22
870616107RLUOtherUTEMIA GRP 22

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Sports Med Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rixt.luikenaar.1@12377.direct.athenahealth.com

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, 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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1285688101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 E 4500 S STE 265",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174024",
            "telephone_number": "801-272-3909",
            "fax_number": "801-272-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 E 4500 S STE 265",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174024",
            "telephone_number": "801-272-3909",
            "fax_number": "801-272-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIKENAAR",
        "first_name": "RIXT",
        "middle_name": "ANNA CATHARINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "53099731205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL GRP 22",
            "identifier": "378821200",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "813565",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D5070",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U HEALTH PLANS",
            "identifier": "97977",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP GRP 22",
            "identifier": "73582",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP 22",
            "identifier": "53099731201001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000068194",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC GRP 22",
            "identifier": "107022141101",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121269900",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA GRP 22",
            "identifier": "TPRA07450",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMIA GRP 22",
            "identifier": "870616107RLU",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.